DUTCH test vs blood tests for hormones

The DUTCH test is a hormone test that uses dried urine, not blood. It is made by Precision Analytical, and the name stands for Dried Urine Test for Comprehensive Hormones. It reports a long list of hormones and their breakdown products from an at-home collection.

The walk-in seller we link to does not sell DUTCH. This page explains what DUTCH is, from the maker’s own pages and the one paper we found, then shows the blood tests that cover the same hormones. We are not affiliated with Precision Analytical. Its facts below come from its pages as of October 2026, when we read them.

Basic female hormone panel

The lowest-priced panel with estradiol, total testosterone, thyroid and general health markers. The seller says to fast for at least 8 hours.

$199

See this test at HealthLabs

Price checked October 2026. Not available in ND, RI, NY, NJ, MD and HI. We earn a commission on sales.

What DUTCH is

The maker’s home page describes the test as a methodology for hormone metabolite testing that uses dried urine. It lists three groups of markers:

• Sex hormones: pregnanediols (progesterone breakdown products), DHEA-S, androsterone, etiocholanolone, testosterone, 5a-DHT, 5a-androstanediol, epi-testosterone, estrone, estradiol, estriol, and estrogen metabolites.
• Adrenal markers: cortisol awakening response, free cortisol and cortisone across the day, and cortisol metabolites.
• Organic acids: markers tied to dopamine, norepinephrine and epinephrine, vitamins B6 and B12, glutathione, melatonin and others.

The page describes at-home collection. It does not state the collection times, turnaround, or any regulatory status, so we say nothing about those.

How you get one

The maker’s patient page says a provider orders it: your provider orders the DUTCH Test, and the kit is delivered to your home after your consultation. It offers to send a request to your provider if they do not yet order it, and it has a search for providers who can. That page does not say whether you can buy it without a provider, so we don’t claim you can.

What the evidence we read shows

We found one peer-reviewed paper on the test’s method. It compared dried urine with liquid urine in a small group. Eighteen healthy adult volunteers gave both samples for reproductive hormones, and the results agreed closely (intraclass correlation above 0.90), although estrone and estriol read consistently higher in liquid urine. In a second comparison, four dried spot urine samples taken through one day agreed with a 24-hour urine collection for most of the 17 hormones and metabolites measured. Newman and Curran, 2021

Read that for what it is:

• It tests whether dried urine gives the same numbers as liquid urine. It is not a study of whether acting on DUTCH results improves health.
• The authors state their competing interests: one is the founder, president and owner of Precision Analytical, and the other is an employee. The company paid for the assays. The paper says the statistics were run and interpreted by an independent agent.
• The groups were small.

We did not find a clinical guideline from a medical society that recommends DUTCH for diagnosis. That is a gap in what we read, not a verdict on the test. We also can’t say it is better or worse than a blood test for any question.

How it differs from a blood test

• Sample. Dried urine you collect at home, compared with a blood sample drawn at a lab.
• What is reported. DUTCH reports hormones and their metabolites in urine. A blood test reports the amount of a hormone in a blood sample.
• Reference ranges. Ranges differ by lab and method. MedlinePlus says to compare your result only with the range on your own lab report. MedlinePlus A DUTCH range and a blood range are not interchangeable.
• What guidelines use. The American Society for Reproductive Medicine describes blood tests for FSH, estradiol and AMH as markers of ovarian reserve. ASRM

Who each option suits

DUTCH may suit you if:

• Your provider has chosen it and will order and read it.
• Your question involves cortisol patterns across the day, or the breakdown products of estrogen and testosterone, which the blood tests below don’t report.
• You prefer collecting dried urine at home to a blood draw.

A walk-in blood test may suit you if:

• Your question is about a single hormone, such as progesterone, estradiol, FSH, LH or AMH.
• You want to order yourself, without a visit to your own provider, in a state where the seller operates.
• You want to bring a number to your own clinician and let them decide whether more testing is needed.

Blood tests for the same hormones

• Estradiol $99 See this test at HealthLabs
• Progesterone $45 See this test at HealthLabs
• FSH and LH $59 See this test at HealthLabs
• AMH $89 See this test at HealthLabs
• Total testosterone $49 See this test at HealthLabs

Sold by HealthLabs. Prices checked October 2026. Not available in ND, RI, NY, NJ, MD and HI. We earn a commission on sales.

For several hormones on one order, see the female hormone panels compared. Hormones that depend on your cycle are covered in when in your cycle to test, and the test finder can narrow the choice.