Hormone Test: 24 hour urine explanation

Hormone Test: 24 hour urine explanation

The hormone test, DUTCH (dried urine test for comprehensive hormones) offered at CareMed is currently Dr. Kennett’s first choice for assessment of hormone imbalances. There are various options available through DUTCH however we often default to DUTCH Complete


Over the years, hormone test via urine has become quite a bit easier for patients. When Dr. Kennett began her practice in 2006 patients would have to either collect all their urine in a bucket for 24 hours, or spend too much time spitting into a small tube – both were certainly hindrances to adequate collection and, at the time, provided limited markers for analysis.


Fortunately, the testing has evolved, not only in terms of collection, but also in terms of value and precision making the results more clinically useful.

For example, testing now includes brain chemical markers HVA and VMA which are acids in the urine representative of dopamine and norepinephrine. Another example is the assessment of Phase I and Phase II metabolites of estrogen which can help us to understand the liver function for hormones but also other aspects of physiology. A final example is the measurement of 8OHdG which represents DNA damage, otherwise known as oxidative stress burden. All of these markers help us to understand the patient from a diversified view. This pictogram from DUTCH shows a breakdown on all markers and measurements used in the DUTCH Complete.

DUTCH Testing is relevant both for men and women – below is a limited list of the possible reasons a patient would seek out a DUTCH Complete:

  • Interest in healthy / optimal aging and in their mid 40s to late 50s
  • Premature hair loss in men or androgenic alopecia in women
  • Reduced Libido, vaginal dryness or erectile dysfunction
  • Emotional concerns ranging from anxiety and insomnia to somnolence and depression
  • Periods abnormalities: irregular, absent, or consistent flow
  • Fibrocystic breasts, endometriosis, fibroids, PCOS, or other estrogen related benign disease
  • Chronic stress and fatigue
  • Circadian rhythm disruption
  • and more….

Once a hormone test report is received at CareMed it is immediately sent to the patient for review before booking their follow up. That way the patient has a chance to assimilate a list of questions from their data.

During the follow up, Dr. Kennett explains the clinical relevance of the data to the patient and offers paths to balance from all medical modalities. Through thorough explanation Dr. Kennett helps the patient to make informed decisions about their care.

* please note that an initial appointment with Dr Kennett is required prior to proceeding with DUTCH testing.

For any questions, please do not hesitate to contact the clinic at 778-340-1114 or email at info@drkennett.com