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All CollectionsLab Test InstructionsPrecision Analytical
Bundle: DUTCH Cycle Mapping + DUTCH Adrenal
Bundle: DUTCH Cycle Mapping + DUTCH Adrenal
Updated over 2 months ago

Test Details

Lab Company: Precision Analytical (DUTCH)
​Sample Type: Urine
​Collection Location: At Home

This bundle combines the DUTCH Cycle Mapping and DUTCH Adrenal tests. The DUTCH Cycle Mapping test analyzes the pattern of progesterone and estrogen throughout the menstrual cycle, while the DUTCH Adrenal analyzes the patterns of daily free cortisol and cortisone. This test is not intended for women who are not cycling, on hormonal birth control, on hormone replacement therapy, or are post-menopausal.

Key Details

  • 🧪 This is a combination of the DUTCH Cycle Mapping and DUTCH Adrenal tests. Both tests will be run from the same samples.

  • 💊 If you are taking hormones, consult the information below and your healthcare provider to discuss collection timing.

  • 💧 You must avoid certain beverages before and during the collection period.

  • 🗓️ The sample collection schedule is dependent on your cycle length.

  • 📦 Samples should be shipped to the lab as soon as possible after sample collection.

Preparation & Timing

  • 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 before consulting with your healthcare practitioner.

  • 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.

Before Collecting the Last 4 Samples

  • Consult your healthcare practitioner if you are taking any of the following medications:

    • Tyrosine

    • L-Dopa

    • D,L-Phenylalanine (DLPA)

    • Mucuna

    • Quercetin

  • Day of collection

    • DO NOT drink caffeine or alcohol.

    • Limit fluid intake to 40 oz.

    • Wait to take all non-essential medications and supplements until after you collect Sample #23.

Collection Schedule

The collection schedule for this test will be determined by your cycle. Day 1 is the first day of menstrual flow (not spotting).

Click on the sections below to see the collection schedule for your specific cycle length.

Normal or Short Cycle (less than 34 days)

  • You will start your collection 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 Samples #22-25.

  • If you complete Sample #21 and have not started menstruating, call DUTCH at 503-687-2050 to be advised on the next steps.

  • Remember, there are special preparation instructions for Samples #22-25. Read these instructions here.

Long Cycle (34 or more days)

  • You will start your collection 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 Samples #22-25.

  • If you complete Sample #21 and have not started menstruating, call DUTCH at 503-687-2050 to be advised on the next steps.

  • Remember, there are special preparation instructions for Samples #22-25. Read these instructions here.

No Cycle (functional ovaries but no menstrual flow)

  • You can start collection any day.

  • You DO NOT need to collect Samples #17-21.

  • Collect the Samples #22-25 on Day 33.

  • Remember, there are special preparation instructions for Samples #22-25. Read these instructions here.

Collection Instructions

  1. Write the following information on the collection device.

    1. Your full name

    2. Date of collection

    3. Time of collection

    4. Day of your cycle (if applicable)

    5. Sample number (following the schedule above)

  2. Fill in the dates of collection on the appropriate collection schedule (normal/short cycle, long cycle, no cycle) found in the included collection instructions.

  3. Collect your urine by either:

    1. Urinating directly on the filter paper

    2. Collecting your urine in a clean cup

  4. If you collected your urine in a clean cup, dip the filter paper in the urine.

  5. Ensure the filter paper is fully saturated.

  6. Leave the collection device open to dry for at least 24 hours.

    1. DO NOT touch the filter paper with your fingers.

  7. Once the filter paper is dry, close and fold each collection device.

  8. Repeat steps 1-7 for each sample collection.

  9. COMPLETE THE TEST REQUISITION FORM.

    1. Instructions on how to fill out your requisition can be found HERE.

    2. Failure to complete and send the test requisition form may result in a sample recollection.

  10. Place all collection devices into the resealable plastic bag.

  11. Place the completed requisition form and plastic bag into the test kit box to ship back to the lab.

Requisition & Payment

  • Your kit has been prepaid. You DO NOT need to pay anything extra.

  • You must complete your requisition form and send it back with your samples. Failure to complete and send the test requisition form may result in a sample recollection.

    • Since you pre-paid for your tests, you do not need to fill in the payment information on this form.

How to Complete Your Requisition

Shipping

  • Please ship your samples as soon as possible after collection.

    • If you have to wait to ship your samples, please place the plastic bag containing the samples in the freezer after they have dried.

  • To prepare your samples for shipping,

    • Once the collection devices are dry, close and fold each device.

    • Place all sample collection devices into the resealable plastic bag.

    • Place the plastic bag into the test kit box.

    • Place the test kit box into the provided UPS envelope.

    • Place the completed requisition form into the provided UPS envelope.

    • Seal the envelope.

  • 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 business days after samples are received at the lab. Rupa Health cannot guarantee processing time.

More Resources

Questions?

Reach out to Rupa Health via the chat in your patient portal.

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