Simple at-home dried urine kit · Analysed in Australia

The DUTCH test that maps 70+ hormone markers.

DUTCH stands for Dried Urine Test for Comprehensive Hormones. It maps how your hormones are made, converted and cleared across a full day: oestrogens, androgens, progesterone, cortisol and melatonin, their metabolites, and the endocrine disruptors that can interfere with them.

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Everything included. Kit, prepaid return, LC-MS/MS and ICP-MS laboratory analysis of 70+ markers and your full 10-page report.

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How it works

How the at-home DUTCH test kit works

Order online, collect four dried urine samples across one day at home and post them back. No needles, no clinic, no appointment.

1MediTests at-home collection kit
Step 1

Order online

Get your at-home hormone test kit in minutes. No appointment or referral needed to order a kit from us.

2Open MediTests collection kit with filter paper strips, instructions and prepaid return label
Step 2

Kit arrives, collect four samples in one day and post it back

Delivered in plain packaging within 1 to 3 business days, with filter paper strips, instructions and prepaid return included. Morning, midday, afternoon and evening, a few seconds each on the strip, let them dry, and post the lot back.

3Reading DUTCH test hormone results on a phone
Step 3

Receive results and understand your hormones

Your full report is delivered to your secure portal once the laboratory has completed analysis, with every marker against a reference range, a hormone cascade chart, and written commentary on each pathway.

Everything’s included. Collection kit, prepaid return, LC-MS/MS and ICP-MS laboratory analysis and your full report.
Healius Pathology Australian Clinical Labs NutriPath Integrative Pathology Services
The value

Why it's worth knowing

Hormones are not static numbers. They are made, converted into other hormones, used, and broken down along pathways that differ from person to person. A DUTCH test maps that whole system from dried urine. Here is what it actually tells you.

70+ markers from one day of dried urine

Oestrogens, progesterone, androgens, cortisol and cortisone curves, melatonin, eleven endocrine disruptors and ten organic acids, in one comprehensive dried urine panel. The full picture of how your hormones are made, converted and cleared, not a single level at a single moment.

Oestrogen metabolism, phase 1 and phase 2

Not just oestradiol, oestrone and oestriol, but the 2-OH, 4-OH and 16-OH metabolites of phase 1 and the methylated 2-MeOH and 4-MeOH forms of phase 2, with the ratios between them. Shows which pathway your body favours and how efficiently it clears what it makes.

Cortisol and cortisone across four time points

Morning, midday, afternoon and evening samples give your daily stress hormone pattern rather than one reading. Plus metabolised cortisol (THF and THE), the 11β-HSD index that shows how cortisol is being activated and cleared, and a four-point melatonin curve.

Androgen and progesterone metabolism

Testosterone, DHT, DHEA, DHEA-S, androstenedione and the 5α-reductase activity ratio. Pregnanediol, allopregnanolone and five more progesterone metabolites. How your body converts and uses these hormones, not just how much is circulating.

Endocrine disruptors in the same sample

BPA, PFAS with PFOA and PFOS, mercury, lead, arsenic, cadmium, aluminium, chromium and nickel. Environmental chemicals that can interfere with hormone signalling, measured alongside the hormones themselves so exposure and effect sit on one report.

A simple at-home dried urine kit

Four samples on filter paper across one day, dried at home, posted back in the prepaid mailer. No needles, no clinic, no appointment. Your kit arrives in plain, unbranded packaging.

What we measure

A full read on your hormones.

The DUTCH test (EndoMAP) measures seventy-three markers from four dried urine samples by LC-MS/MS and ICP-MS, grouped by pathway, so you see each level against its reference range and how the parts of the system relate to each other.

Seventeen markers covering the three parent oestrogens, their phase 1 hydroxylated metabolites, their phase 2 methylated metabolites, and the ratios that show which pathways your body favours.

Oestradiol (E2)

The most potent oestrogen and the primary one in cycling women.

Oestrone (E1)

The main oestrogen after menopause, and a reservoir that converts to and from oestradiol.

Oestriol (E3)

The weakest of the three, dominant in pregnancy and often read as a marker of balance.

Oestrogen quotient, E3/(E2+E1)

The proportion of the milder oestriol relative to the two stronger oestrogens.

2-OH oestradiol

A phase 1 metabolite on the 2-hydroxylation pathway, generally regarded as the more favourable route.

2-OH oestrone

The oestrone form of the 2-hydroxylation pathway.

4-OH oestradiol

A phase 1 metabolite on the 4-hydroxylation pathway, the route that benefits most from efficient phase 2 clearance.

4-OH oestrone

The oestrone form of the 4-hydroxylation pathway.

16-OH oestrone

The third phase 1 route, a more oestrogenically active metabolite.

2-OH / 16-OH ratio

The balance between the 2 and 16 pathways, a widely used indicator of oestrogen metabolism pattern.

2-MeOH oestradiol

The methylated, phase 2 form of 2-OH oestradiol, showing it has been processed for clearance.

2-MeOH oestrone

The methylated form of 2-OH oestrone.

4-MeOH oestradiol

The methylated form of 4-OH oestradiol. Efficient methylation here is what neutralises the 4-OH pathway.

4-MeOH oestrone

The methylated form of 4-OH oestrone.

2-MeOH E1 / 2-OH E1 ratio

How efficiently the 2-pathway is being methylated, a read on phase 2 capacity.

4-MeOH E2 / 4-OH E2 ratio

How efficiently 4-OH oestradiol is being methylated and cleared.

4-MeOH E1 / 4-OH E1 ratio

How efficiently 4-OH oestrone is being methylated and cleared.

Ten markers covering the androgen cascade from DHEA through to testosterone and DHT, with the conversion ratio that shows which direction your body is pushing them.

DHEA

The adrenal precursor at the top of the androgen cascade, from which testosterone and oestrogens are built.

DHEA-S

The sulphated, longer-lived form of DHEA, reflecting overall adrenal androgen output.

Androstenedione

The intermediate between DHEA and testosterone, also a precursor to oestrone.

Androsterone

A downstream metabolite on the 5α pathway; read against etiocholanolone for reductase activity.

Etiocholanolone

The 5β counterpart to androsterone. The pair together show how androgens are being broken down.

Testosterone

The principal androgen in both men and women, measured here alongside its metabolites rather than alone.

Epi-testosterone

A naturally occurring isomer of testosterone. The testosterone to epi-testosterone ratio is a check on production versus external sources.

DHT (dihydrotestosterone)

The more potent androgen testosterone converts into, relevant to skin, hair and prostate tissue.

5α-androstanediol

A metabolite of DHT that reflects overall 5α-reductase activity in tissue.

5α-reductase activity

The androsterone to etiocholanolone ratio, showing whether your body preferentially converts testosterone towards the more potent DHT.

Eight markers that show not only progesterone status but how it is being converted, including the neurosteroid pathway.

Pregnanediol

The main urinary metabolite of progesterone and the standard marker for progesterone production.

Allopregnanolone

A neurosteroid metabolite of progesterone that acts on GABA receptors in the brain.

Allopregnanediol

A further metabolite on the allopregnanolone pathway.

3α-dihydroprogesterone

An intermediate on the pathway from progesterone to allopregnanolone.

20α-dihydroprogesterone

A metabolite on the alternative, less active progesterone pathway.

Deoxycorticosterone

A mineralocorticoid precursor made from progesterone, linked to fluid and blood pressure regulation.

Corticosterone

A glucocorticoid produced from deoxycorticosterone, a secondary stress hormone.

Pregnanediol / oestradiol ratio

The balance between progesterone and oestrogen, one of the most requested ratios in hormone testing.

Seventeen markers: free cortisol and free cortisone at four time points across the day, the metabolised forms that show total output, the 11β-HSD index, and a four-point melatonin curve.

Free cortisol, morning

Your waking cortisol, which should be the highest point of the day.

Free cortisol, midday

Cortisol as it begins to fall from the morning peak.

Free cortisol, afternoon

The mid-afternoon level, where a healthy curve continues to decline.

Free cortisol, evening

Cortisol before bed, which should be the lowest point of the day.

Free cortisone, morning

The inactive form cortisol converts into, measured at the same four points to show how much is being deactivated.

Free cortisone, midday

Cortisone at midday.

Free cortisone, afternoon

Cortisone in the afternoon.

Free cortisone, evening

Cortisone in the evening.

Total cortisol

Pooled cortisol across the day, a measure of overall output.

Total cortisone

Pooled cortisone across the day.

Tetrahydrocortisol (THF)

The main metabolised form of cortisol, reflecting how much cortisol your body actually produced.

Tetrahydrocortisone (THE)

The main metabolised form of cortisone.

Metabolised cortisol (THF + THE)

Total glucocorticoid production, which can differ from free cortisol when clearance is fast or slow.

11β-HSD index (THF/THE)

The balance of the enzyme that activates cortisone into cortisol and back again, showing whether you favour the active or inactive form.

Melatonin, morning

Melatonin at waking, which should be low.

Melatonin, midday

Melatonin at midday.

Melatonin, afternoon and evening

Melatonin as it rises towards night, a read on your sleep-wake rhythm alongside the cortisol curve.

Eleven environmental chemicals and metals that can interfere with hormone signalling, measured from the same sample by ICP-MS so exposure sits on the same report as effect.

Bisphenol A (BPA)

Found in some plastics, can linings and thermal receipts. Structurally similar enough to oestrogen to bind its receptors.

PFAS (polyfluoroalkyl substances)

The broad class of persistent chemicals used in non-stick, water-resistant and stain-resistant products.

PFOA

A specific PFAS compound, one of the most studied.

PFOS

Another specific PFAS compound, historically used in firefighting foams and coatings.

Mercury

Large predatory fish, dental amalgam and some occupations. Interferes with thyroid and other hormone systems.

Lead

Old paint, older plumbing and some imported goods. Accumulates and affects multiple hormone pathways.

Arsenic

Contaminated water, rice and some seafood. A known endocrine disruptor at chronic exposure.

Cadmium

Tobacco smoke, some shellfish and industrial exposure. Accumulates with a long half-life.

Aluminium

Cookware, antiperspirants and some processed foods.

Chromium

Industrial exposure and some supplements, measured here as a potential disruptor rather than a nutrient.

Nickel

Jewellery, stainless steel and some foods. A common sensitiser.

Ten organic acids covering nutritional status, neurotransmitter metabolism and oxidative stress, adding a layer of context around the hormone results.

Xanthurenic acid

A marker of vitamin B6 status; rises when B6 is insufficient for tryptophan metabolism.

β-hydroxyisovaleric acid

A marker of biotin status.

Methylmalonic acid (MMA)

A sensitive functional marker of vitamin B12 status.

Homovanillic acid (HVA)

The main metabolite of dopamine, reflecting dopamine turnover.

Vanillylmandelic acid (VMA)

The main metabolite of adrenaline and noradrenaline, reflecting stress hormone turnover.

Kynurenic acid

A tryptophan metabolite on the kynurenine pathway, associated with inflammation and neuroprotection.

Quinolinic acid

Another kynurenine pathway metabolite, associated with inflammation and oxidative stress.

8-OH-deoxyguanosine

A marker of oxidative damage to DNA.

Pyroglutamic acid

A marker of glutathione status and turnover.

Indoleacetic acid

A tryptophan metabolite produced by gut bacteria, a read on microbial tryptophan metabolism.

Marker descriptions are general explanations to help you read your report, not a diagnosis. Hormone metabolite testing reflects your production, conversion and clearance at the time of sampling and is interpreted alongside your history, cycle, medications and symptoms.

By the numbers

One day. The whole picture.

Everything the DUTCH test covers, at a glance.

73
hormone, metabolite and toxin markers
4
samples across one day, collected at home
11
endocrine disruptors screened as standard
10
page report with written commentary

Compare

How this differs from a blood hormone test

A blood test answers how much of a hormone is circulating right now. A DUTCH test answers a different set of questions: how it is being made, converted, used and cleared, across a whole day.

Blood hormone test
DUTCH test (EndoMAP) This test
What is measured
✕ A handful of parent hormones
✓ Parent hormones plus their metabolites, 73 markers
Oestrogen metabolism
✕ Not assessed
✓ Phase 1 and phase 2 metabolites with ratios
Cortisol
✕ One reading at one moment
✓ Cortisol and cortisone at four points across the day
Melatonin
✕ Rarely included
✓ Four-point daily curve
Endocrine disruptors
✕ Not included
✓ Eleven, from the same sample
Sample collection
✕ Blood draw at a collection centre
✓ Four dried urine samples at home, no needles
Method
✕ Varies, often immunoassay
✓ LC-MS/MS and ICP-MS, NATA-accredited laboratory
Referral or appointment
✕ Usually needed
✓ Not needed
Your results

Results that actually make sense.

Quantified and charted

All 73 markers are reported against reference ranges, and the steroid hormones are drawn onto a cascade chart so you can see the pathways, not just a list. Cortisol, cortisone and melatonin are plotted as daily curves.

Written commentary on every pathway

The laboratory adds a plain-language interpretation for oestrogens, progesterone, androgens, cortisol and melatonin, explaining what the pattern in your results can indicate and what is worth looking at next.

Yours to keep and share

The full 10-page report is delivered to your secure portal. Keep it, retest later against the same ranges, or hand it to your GP, gynaecologist, naturopath or integrative doctor to guide next steps.

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Pricing

One test. One price.

Everything you need, in a single order.

DUTCH Test (EndoMAP)

Seventy-three markers from four at-home dried urine samples, covering oestrogen, androgen, progesterone and cortisol metabolism, melatonin, endocrine disruptors and organic acids, with your full 10-page laboratory report. Analysed in Australia.

$429.00$499.00Save $70.00
One-off, all inclusive
Get my test kit →

What's included

At-home dried urine kit

Filter paper for four collections, posted in plain packaging

Prepaid return postage

Included in the box, nothing to pay

LC-MS/MS and ICP-MS analysis of 73 markers

At a NATA-accredited Australian laboratory

Hormone cascade chart

Your steroid pathways drawn, not just listed

Written commentary

For every hormone pathway on the report

No GP referral needed

Order online, no appointment

Good to know

DUTCH Test (EndoMAP) FAQs

DUTCH stands for Dried Urine Test for Comprehensive Hormones. Instead of a single blood draw, you collect four dried urine samples across one day at home, and the laboratory measures not only your parent hormones but the metabolites they are broken down into. That shows how your hormones are being made, converted and cleared, and how cortisol, cortisone and melatonin rise and fall across the day. Our DUTCH test is the EndoMAP panel from NutriPath, a NATA-accredited Australian laboratory.

Seventy-three markers from four samples: 17 oestrogens including the phase 1 and phase 2 metabolites and their ratios, 10 androgens including testosterone, DHT, DHEA and the 5α-reductase ratio, 8 progesterone metabolites, free cortisol and free cortisone at four time points, metabolised cortisol and the 11β-HSD index, a four-point melatonin curve, 11 endocrine disruptors including BPA, PFAS and heavy metals, and 10 organic acid markers.

Anyone who wants a detailed picture of their hormone metabolism rather than a single level. That includes people on or considering hormone therapy who want to see how they are metabolising it, people tracking their stress hormone pattern across the day, people interested in how their body processes oestrogen, and anyone who has had blood hormone results that did not explain what they were experiencing. It is suitable for both women and men.

The DUTCH Test (EndoMAP) is $429.00. That single price covers the at-home collection kit, prepaid return postage, LC-MS/MS and ICP-MS laboratory analysis of all 73 markers, and your full 10-page report. There is no referral fee and no clinic visit to pay for.

Yes. Your samples are posted in the prepaid mailer to NutriPath, a NATA-accredited laboratory in Australia. Nothing is sent overseas, and your results are read against the laboratory's own reference ranges.

You collect four dried urine samples across one day at home: morning, midday, afternoon and evening. Each is a few seconds on a filter paper strip, which you then let dry. The kit includes step-by-step instructions and a prepaid return mailer. There are no needles and no clinic visit. If you have a menstrual cycle, the instructions explain which days to collect on so your results are read against the right reference ranges.

Your full report is delivered to your secure portal once the laboratory has completed analysis. You can read it yourself or share it with your GP, gynaecologist, naturopath or integrative doctor to guide next steps.

A blood test measures how much of a hormone is circulating at the moment the blood is drawn, and typically covers a handful of parent hormones. A DUTCH test measures the metabolites as well, which shows how your body is converting and clearing each hormone, and it samples four times across the day so cortisol, cortisone and melatonin are read as curves rather than single points. It also includes endocrine disruptors and organic acids that a blood hormone panel does not. The two are complementary and are often used together.

Yes. The androgen section covers testosterone, DHT, DHEA and the 5α-reductase conversion ratio in detail, and the cortisol, melatonin, oestrogen metabolism, endocrine disruptor and organic acid sections apply equally. Results are read against sex-specific reference ranges.

No. It is a self-requested at-home test kit that you order online without a referral or appointment.

No. A DUTCH test reflects your hormone production, conversion and clearance at the time of sampling and is not a standalone diagnostic tool. Results are interpreted alongside your history, cycle, medications and symptoms, and anything that needs follow up should be taken to your GP or practitioner.

MediTests

See how your hormones actually behave.

A DUTCH test from home: four dried urine samples across one day, 73 markers, and a map of how your hormones are made, converted and cleared.

Get my test kit →

MediTests is a private, self-requested pathology service. The sample is self-collected at home and analysed by a specialist Australian laboratory. Hormone metabolite testing reflects production, conversion and clearance at the time of sampling and is not a standalone diagnostic tool for any condition. Results are intended to support, not replace, the advice of your treating doctor, and may lead to further investigation. ABN 70 686 814 951.

Advanced DUTCH Dried Urine Hormone Test

The DUTCH® Hormone Test (Dried Urine Test for Comprehensive Hormones) is one of the most advanced hormone assessments available, providing a detailed picture of hormone production, metabolism and daily hormone patterns.

Unlike standard blood testing, the DUTCH test measures hormone metabolites and cortisol patterns throughout the day using four simple dried urine collections. This provides valuable insight into how your body produces, processes and eliminates hormones.

The test assesses female and male sex hormones, adrenal function, cortisol rhythm, melatonin production, estrogen detoxification pathways, endocrine-disrupting chemical exposure and selected functional organic acid markers.

It is commonly used by integrative practitioners to investigate symptoms including:

  • Fatigue
  • Low energy
  • Hormonal imbalance
  • Menopause
  • Perimenopause
  • PMS
  • PCOS
  • Low libido
  • Infertility
  • Poor sleep
  • Chronic stress
  • Adrenal dysfunction
  • Mood changes
  • Weight management concerns

Results provide a detailed overview of hormone balance and metabolism, helping identify potential patterns that may not be apparent on conventional hormone testing.

The DUTCH test uses four dried urine samples collected at specific times throughout the day. Once returned to the laboratory, results are typically available within 7–10 business days.

What we test for

  • Estrogens (Estradiol, Estrone, Estriol) – Evaluates your body’s primary estrogen hormones to assess overall hormone balance.
  • Estrogen Metabolism – Assesses how your body breaks down and detoxifies estrogen through key metabolic pathways.
  • Endocrine Disruptors – Screens for common environmental chemicals and heavy metals that may interfere with normal hormone function.
  • Progesterone Metabolites – Measures progesterone metabolism to provide insight into ovulation, hormone production and balance.
  • Androgens – Evaluates testosterone, DHEA and other androgen metabolites involved in energy, muscle mass, libido and reproductive health.
  • Cortisol & Cortisone – Measures daily adrenal hormone patterns to assess stress response, HPA axis function and cortisol metabolism.
  • Melatonin – Assesses melatonin production throughout the day to provide insight into circadian rhythm and sleep health.
  • Organic Acid Markers – Includes functional health markers related to methylation, neurotransmitter metabolism, oxidative stress and nutritional status.

Reasons to get this test

  • One of the world’s most comprehensive hormone assessments
  • More detailed hormone information than standard blood testing alone
  • Evaluates hormone production and hormone metabolism
  • Assesses cortisol patterns throughout the day
  • Includes detailed estrogen detoxification analysis
  • Measures progesterone and androgen metabolites
  • Includes melatonin rhythm assessment
  • Screens for endocrine-disrupting chemicals
  • Includes functional metabolic markers
  • Convenient at-home dried urine collection
  • Suitable for both women and men
  • Helps investigate complex hormone-related symptoms

How it works

1. Receive your referral instantly after purchase

2. Quick blood test at your local collection centre

3. Results to your inbox within 1-2 days

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