Are you struggling with any of the following?
- Exhaustion/ fatigue, sleep or stress issues, decreased libido/ sex drive
- Fertility problems
- Poly-cystic ovarian syndrome (PCOS), ovarian cysts, breast cysts, breast fibroadenoma
- Irregular periods, peri-menopause
- Acne associated with the menstrual cycle
- Painful periods, endometriosis
- Fibroids, adenomyosis
- PMS (pre-menstrual syndrome) with symptoms such as (but not limited to) bloating, breast distension, weight gain, acne, moodiness, anxiety, depressed mood, food cravings, headaches/ migraines, etc.
If you have any of the above, it may be prudent to get tested for hormonal imbalances. While hormone blood tests are a useful tool and most often recommended, sometimes they don’t give us adequate information about what is happening inside the body. Blood and saliva hormone tests do not measure cortisol rhythms, the different levels of estrogen (in relation to progesterone and testosterone) and how estrogen is metabolised. In cases involving the reproductive system, understanding estrogen metabolism is important so we know how the body is clearing estrogens. If you don’t metabolise estrogen well, you may be at risk for estrogen dominance, as well as risks of hormone-related cancers such as breast, cervical and uterine cancers.
DUTCH TEST- Comprehensive Hormone Testing
The DUTCH test stands for Dried Urine Test for Comprehensive Hormones and involves collection of a small amount of urine on filtered paper four times a day. The DUTCH TEST measures a variety of hormone metabolites from the dried urine samples. The hormones measured in the test include:
What makes the DUTCH test better than blood or saliva tests is the comprehensive information. It gives you a clearer picture as it tells you not only the hormone levels that affect the menstrual cycle and overall wellbeing but also how your body is clearing the hormones. Furthermore, the DUTCH test includes the adrenal hormones, which provides specific information about how to support stress and sleep issues by specifically looking at the the HPA axis (hypothalamus-pituitary-adrenal) adrenal-brain communication.
Dr. Yik sees many women in clinic who experience hormonal issues and are stressed or exhausted. She recommends the DUTCH test in cases where hormonal imbalance is suspected.