DUTCH Cycle Mapping™
Track Hormone Levels Throughout the Entire Menstrual Cycle
What is the DUTCH Cycle Mapping™?
For some women, testing reproductive hormones like progesterone and estrogen on a single day can provide sufficient information. However, to receive a complete and accurate picture, it’s often necessary to map hormone levels throughout the entire menstrual cycle.
Typically, hormone levels follow a pattern:
Estrogen is low at the start of the cycle, rises around ovulation, and then decreases in the luteal phase, otherwise known as the latter part of the cycle.
Progesterone remains low until after ovulation, when it ideally increases significantly (>10-fold) and then decreases during the luteal phase.
The DUTCH Cycle Mapping test helps comprehensively diagnose and address many underlying problems.
*This test is not intended for women on hormonal birth control.
What You’ll Get with
the DUTCH Cycle Mapping™
With the DUTCH Cycle Mapping, providers gain in-depth and comprehensive insight into a woman’s menstrual cycle.
The kit includes:
- Easy directions and filter paper collection strips
- Requisition form for:
- Patient information
- Relevant supplements
- Medications
- Hormone replacement
- Health questionnaire
- Sealable return envelope
Results include:
- Nine (9) targeted estrogen and progesterone measurements taken throughout the cycle to characterize the follicular, ovulatory and luteal phases
- Graphical representation of results and embedded video tutorials to assist providers in the hormone test analysis to share with your provider
- *DUTCH Cycle Mapping™ can also be combined with the DUTCH Complete™ for an even more comprehensive hormone panel.
When is the DUTCH Cycle Mapping™ recommended?
The DUTCH Cycle Mapping test is recommended for:
- Infertility
- Cycling hormones and no menses
- Partial hysterectomy (ovaries intact but no uterus)
- Ablations
- Irregular cycles
- Polycystic ovary syndrome (PCOS)
- Month-to-month luteal phase shifts
- Testing questions due to long or short cycles
- Symptom fluctuations throughout a cycle
- PMS, mid-cycle spotting, migraines, and more
* You do not need a DUTCH Cycle Mapping test if you are postmenopausal, on birth control, or experience menstrual cycles that follow the expected pattern.
Finding the Right Test
Selecting the right test is essential for achieving health goals and providing the necessary level of detail. Review the comparison chart below to assist in making this important decision.
 |  |  | |
|---|---|---|---|
| Comprehensive Sex Hormones and Metabolites | |||
| Diurnal Rhythm of Cortisol | |||
| Cortisol Metabolism | |||
| Cortisol Awakening Response (CAR) | |||
| Insomnia Cortisol Sample | |||
| Organic Acids + Overnight Melatonin | |||
| Menstrual Cycle Estrogen and Progesterone Mapping |
Convenient Full-Cycle Hormone
Monitoring
Easy Sample Collections
Make For Better Testing
Salivary hormone tests may miss important progesterone and estrogen peaks if not timed precisely, especially for women with irregular cycles. DUTCH Cycle Mapping™ uses multiple first-morning urine samples and adjusts testing based on the actual length of the cycle, providing a clearer picture of both ovulatory and luteal peaks.
Better Testing Makes
For Better Treatment
The DUTCH Cycle Mapping™ test provides a detailed graphical view of the patient’s entire menstrual cycle, allowing providers to accurately track ovulation, identify causes of mid-cycle spotting or hormonal migraines, and assess ovarian function. With this comprehensive information, providers can better address fertility issues and tailor treatment plans to each patient's specific needs.
Methods Used
For Testing
We test estrogen and progesterone metabolites nine times using LC-MS/MS, the most accurate method for measuring these hormones and their byproducts in urine.
DUTCH Cycle Mapping™ Resources
Frequently Asked Questions
Whether you’re just getting started or looking to understand the essentials, this section covers all the key information you need.
