Lab Company: Precision Analytical
Sample Type: Urine
Collection Location: At Home
The DUTCH Sex Hormone Metabolites test assesses sex hormones and their metabolites. This test gives you and your healthcare provider insights into how your hormones are working and how they may be impacting your health.
You must avoid certain foods and beverages before and during the collection period.
If you are taking hormones or supplements, consult the information below and your healthcare provider to discuss collection timing.
If you are a cycling woman, you must collect the samples on specific days of your cycle.
Ensure the samples are fully dried before shipping them back.
Samples should be shipped to the lab as soon as possible after sample collection.
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
DO NOT skip doses of birth control unless instructed by your healthcare provider.
If you are taking
Patch, Pellet, or Injectable Hormones: Collect your sample midway between doses.
Sublingual Hormones: Please review the video instructions HERE.
Oral Hydrocortisone: Please review the video instructions HERE.
Glucocorticoids: Check with your healthcare provider regarding when you should collect your samples.
Men and menopausal women can collect their samples at any time.
Cycling women should take the test according to the following schedule:
Irregular cycles: Watch THIS video to determine when to collect.
Regular cycles: Use the table below to determine when to collect your sample.
You should begin collecting your sample 6-9 days before your cycle ends.
Collect according to the following schedule.
Collect at your first waking sleep disturbance.
If you wake up to urinate a second time during the night, do not collect
Upon waking for the day
DO NOT lay awake in bed before collecting sample 3.
2 hours after waking
Tip: Set a timer to remind yourself!
If you miss a collection, collect at the appropriate time the following day.
You can start the collection with Sample 3 instead of Sample 1.
You must collect the extra sample if you do this.
If you have an abnormal sleep schedule, collect at the following times:
Sample 1: 4-7 hours before bed
Sample 2: before your longest stretch of sleep
Sample 3: upon waking from this sleeping period
Sample 4: 2 hours later
DO NOT drink any fluids for 2 hours before each sample collection.
Write the following information on the collection device.
Your full name
Date of collection
Time of collection
Day of your cycle (if applicable)
Sample number (following the schedule above)
Collect your urine by either:
Urinating directly on the filter paper
Collecting your urine in a clean cup
If you collected your urine in a clean cup, dip the filter paper in the urine.
Ensure the filter paper is fully saturated.
Leave the collection device open to dry for at least 24 hours.
DO NOT touch the filter paper with your fingers.
Once the filter paper is dry, close and fold each collection device.
COMPLETE THE TEST REQUISITION FORM.
Place all collection devices into the resealable plastic bag.
Place the completed requisition form, waiver (if applicable), and plastic bag into the provided envelope to ship back to the lab.
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.
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.
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 provided UPS envelope.
Place the completed requisition form into the provided UPS envelope.
Place the completed waiver (NY & RI patients only) 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 should be released to your provider 7-10 business days after samples are received at the lab. Rupa 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.