Test Details
Lab Company: Precision Analytical (DUTCH)
Sample Type: Urine
Collection Location: At Home
The DUTCH Cycle Mapping Plus analyzes the pattern of progesterone and estrogen, hormone metabolites, and the cortisol awakening response throughout the menstrual cycle. It is collected throughout one entire menstrual cycle.
Key Details
This is a long and detailed test. Please read the instructions carefully.
If you are taking oral estrogen, progesterone, or pregnenolone, consult your healthcare practitioner before completing this test.
If you are taking any hormone therapy, consult your healthcare practitioner before completing this test.
You must avoid certain foods and medications prior to completing Samples #22-25.
The sample collection schedule is dependent on your cycle length.
Samples should be shipped as soon as possible after completion.
You MUST send the completed test requisition form and waiver (NY & RI patients only) back to the lab with your samples. Failure to send these forms with your samples may result in a recollection.
Preparation & Timing
This test is not intended for women who are not cycling, on hormonal birth control, on hormone replacement therapy, or are post-menopausal.
If you are taking oral estrogen, progesterone, or pregnenolone, consult your healthcare practitioner before completing this test.
If you are taking any hormone therapy, consult your healthcare practitioner before completing this test.
It is typically required to stop hormone therapy for the duration of this test.
Do NOT discontinue prescription medications prior to consulting with your healthcare practitioner.
Before collecting the LAST FOUR URINE SAMPLES and the SALIVA SAMPLES,
Avoid avocado, fava beans, and bananas for 48 hours.
Consult your healthcare practitioner if you are taking tyrosine, L-Dopa, D,L-Phenylalanine (DLPA), Mucuna, or Quercetin.
Avoid caffeine and alcohol on the day of collection.
Avoid exercise on the day of collection.
Avoid flossing your teeth on the day of collection.
Take all non-essential medications and supplements after Sample #23.
Limit fluid intake to 40 oz.
Avoid eating and drinking until collecting Saliva Sample #3.
The COLLECTION SCHEDULE for this test will be determined by your cycle. Day 1 is the first day of menstrual flow (not spotting).
Normal or short cycle: a cycle less than 34 days
The first collection will be on Day 7.
The last four samples will be collected on the 4th day of your new cycle.
Long cycle: a cycle that is 34 days or longer
The first collection will be on Day 7.
The last four samples will be collected on the 4th day of your new cycle.
No cycle: a cycle without bleeding (due to a partial hysterectomy, ablation, etc.)
You can start collections any day.
The last four samples will be collected on Day 33.
Collection Instructions
Collection Schedule
Normal or Short Cycle (less than 34 days)
General notes about your sample collection:
Collection 1 should be done on Day 7 of your cycle.
If you miss a collection, simply collect the following day and then continue the schedule as it is listed.
If menstruation begins before Sample #21, collect one more sample (Day 2 of your period) and then skip to the last four urine samples and the saliva samples.
If you complete Sample #21 and have not started menstruating, call DUTCH at 503-687-2050 to be advised on the next steps.
Sample Collection Schedule
Long Cycle (34 or more days)
General notes about your sample collection:
Collection 1 should be done on Day 7 of your cycle.
If you miss a collection, simply collect the following day and then continue the schedule as it is listed.
If menstruation begins before Sample #21, collect one more sample (Day 2 of your period) and then skip to the last four urine samples and the saliva samples.
If you complete Sample #21 and have not started menstruating, call DUTCH at 503-687-2050 to be advised on the next steps.
Sample Collection Schedule
No Cycle (functional ovaries but no menstrual flow)
General notes about your sample collection:
You can start any day.
If you miss a collection, simply collect the following day and then continue the schedule as it is listed.
You do not need to collect Samples #17-21.
Collect the last four urine samples and the saliva samples on day 33.
Sample Collection Schedule
Last 4 Urine Samples & Saliva Samples
General notes about your sample collection:
There are special preparation instructions for this day. Read these instructions here.
The three morning saliva samples must be completed on the same day.
Sample Collection Schedule
Collection 1 - Immediately upon waking: Collect both a urine and a saliva sample.
The saliva sample should be collected before getting out of bed, within 5 minutes of waking.
Set a 30-minute timer for the next collection.
Do not brush your teeth, floss, eat, or drink.
Collection 2 - 30 minutes after waking: Collect a saliva sample.
Set a 30-minute timer for the next collection.
Do not brush your teeth, floss, eat, or drink.
Collection 3 - 60 minutes after waking: Collect a saliva sample.
You can now eat, drink, and brush your teeth.
Collection 4 - 2-3 hours after waking: Collect a urine sample.
Collection 5 - Afternoon (4 pm - 5 pm): Collect both a urine and a saliva sample.
Avoid eating or drinking in the hour before this collection.
Rinse your mouth with water 10 minutes before collecting saliva.
Collection 6 - Bedtime (10 pm - 12 am): Collect both a urine and a saliva sample.
Avoid eating or drinking in the hour before this collection.
Rinse your mouth with water 10 minutes before collecting saliva.
Collection Instructions
Prior to collection,
Complete all information, including the date of collection and the day of your cycle, on each urine collection device using a ballpoint pen.
Find the collection schedule on page 10, 12, or 14 of the included collection instructions.
Fill in the dates of collection on the collection schedule.
Urine Collection (follow the appropriate collection schedule)
You can collect your urine sample in one of two ways:
Saturate the filter paper by urinating directly on it.
Urinate into a clean cup and dip the filter paper for 5 seconds.
Leave the collection device open to dry for at least 24 hours.
Once the collection device is dry, close it and place it in the kit box.
Repeat for each urine collection.
Saliva Collection (schedule here)
Remove the blue cap.
Place the cotton swab in your mouth.
Touch the swab with your hands as little as possible.
Leave the swab in your mouth until it is fully saturated.
Do NOT leave it in longer than 5 minutes.
Lighty chewing on the swab may help stimulate saliva flow.
Place the swab back in the tube.
Do NOT remove the inner tube.
Do NOT spit into the tube.
Place the blue cap back on the tube.
Completely fill in all information on the tube label.
Freeze the saliva sample until you are ready to ship it.
Repeat for each saliva collection.
Once all urine samples are dry, ensure they are all properly labeled.
COMPLETE THE TEST REQUISITION FORM.
Instructions on how to fill out your requisition can be found HERE.
If you live in New York or Rhode Island, please also complete the included waiver (instructions HERE).
Failure to complete and send the test requisition form may result in a sample recollection.
Remove the saliva tubes from the freezer and ensure they are all properly labeled.
Place the dry urine collection devices in the provided plastic bag and seal.
Place the frozen saliva tubes in the provided plastic bag and seal.
Place the plastic bags in the test kit box.
Requisition & Payment
Your kit has been prepaid. You DO NOT need to pay anything extra.
Instructions on how to fill out your requisition can be found HERE.
Since you pre-paid for your tests, you do not need to fill in the payment information on any of these forms.
If you live in New York or Rhode Island, please also complete the included waiver (instructions HERE) and send it to the lab with your samples.
Shipping
To prepare your samples for shipping,
Place the dry urine collection devices in the provided plastic bag and seal.
Place the frozen saliva samples in the provided plastic bag and seal.
Place the plastic bags in the test kit box.
Cut out the completed collection schedules.
Place the completed collection schedules in the test kit box.
Place the completed test requisition form in the test kit box.
Place the completed waiver (NY & RI patients only) into the test kit box.
Place the test kit box in the provided return envelope.
Please ship ALL tests as soon as possible after completion.
If you have to wait to ship your samples, please place the plastic bag containing the samples in the freezer after they have dried.
Make a note of the tracking number so that you can track your sample back to the lab.
Results
Results should be released to your provider 7-10 days after completion after samples are received at the lab. We cannot guarantee processing time.
Your provider will notify you when your results are in and schedule a follow-up appointment for you to review them together.
More Resources
Questions?
For general questions, email Rupa Health at support@rupahealth.com. For test-specific questions, contact Precision Analytical by calling 1-503-687-2050 or chatting with support.