Description
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Get the Full Picture Throughout the Entire Menstrual Cycle
For female patients experiencing:
- Irregular cycles
- Luteal phase defect
- Ablations
- PMS
- Mid-cycle spotting
- Migraines
- Vaginal dryness
- Brain fog
- Low libido
- Weight gain
- Fertility concerns
- Partial hysterectomy
- Trying to conceive (TTC)
- Mood swings that follow a cycle
- Month-long hormonal symptoms
- Mirena IUD (no menstrual bleeding due to IUD but still have hormonal symptoms)
- Polycystic ovary syndrome (PCOS)
- Fatigue or low energy
- Hot flashes or night sweats
DUTCH Cycle Mapping™
The DUTCH Cycle Mapping™ maps the progesterone and estrogen pattern throughout the menstrual cycle. It provides the full picture of a woman’s cycle to answer important questions for patients with month-long symptoms, infertility, and PCOS. Nine (9) targeted estrogen and progesterone measurements are taken throughout the cycle to characterize the follicular, ovulatory, and luteal phases.
What is DUTCH Cycle Mapping™?
For some women, testing reproductive hormones (progesterone, estrogen, etc.) on a single day is sufficient. In other scenarios, the clinical picture cannot be properly captured without “mapping” out the hormonal pattern throughout their menstrual cycle.
The expected pattern of hormones shows relatively low estrogen levels early in the cycle, a surge around ovulation and modest levels in the latter third of the cycle (the luteal phase). Progesterone levels, on the other hand, stay relatively low until after ovulation. After ovulation, levels ideally increase (>10-fold) and then drop back down at the end of the cycle. A disruption in this cycle can lead to infertility or hormonal imbalance.
WHAT'S INCLUDED IN THIS KIT?
- 25 Dried Urine Collection Devices
- Cycle Mapping™ Requisition Form
- Resealable Plastic Bag
- Return Envelope / Payment Card (If needed)
- Test Instructions
WHEN IS DUTCH CYCLE MAPPING™ RECOMMENDED?
- Women struggling with infertility
- Women with cycling hormones and no menses
- Partial hysterectomy (ovaries intact but no uterus)
- Ablations
- Women with irregular cycles
- PCOS
- If the luteal phase shifts from month-to-month
- Not sure when to test due to long or short cycles
- Women whose hormonal symptoms tend to fluctuate throughout the cycle
- PMS, mid-cycle spotting, migraines, etc.
WHEN IS DUTCH CYCLE MAPPING™ NOT NEEDED? (DUTCH COMPLETE™ IS SUFFICIENT)
- Postmenopausal women
- Women on birth control
- Women with cycles that follow the expected pattern
DUTCH Cycle Mapping™ Instructions
DUTCH Cycle Mapping™ Sample Report
Why is Cycle Mapping Important?
For many patients, a one-day test is sufficient to get a picture of their hormones. However, you may wish to see a complete map of their cycle to identify how estrogen and progesterone levels fluctuate. Cycle Mapping is necessary to provide this map.

Typical estrogen patterns show relatively low levels early in the cycle, a surge around ovulation, and modest levels in the latter third of the cycle (the luteal phase). Progesterone levels stay relatively low until after ovulation when they typically increase more than tenfold before dropping back down at the end of the cycle.
Determining how a patient’s hormone fluctuations compare to this optimal pattern can shed light on cycle-related health concerns. DUTCH Cycle Mapping helps you develop an accurate picture of your patient’s hormone patterns throughout their menstrual cycle so you can craft an effective treatment program specific to their individual needs.

PATIENT COLLECTION SCHEDULE
The schedule on which a patient collects depends on the average length of their cycle. Additional instructions are included in the test kit to help them adjust the schedule according to their cycle. Here’s a look as the collection schedule for a 28-day cycle:

The patient will begin collecting on the seventh day of the cycle, collecting every dark purple day, preferably in the morning. On the day marked with the golden number, about day three of the next period, they will collect the final four samples throughout the day to map their daily hormone fluctuation.
Normal Cycle or Short Cycle
If the patient’s typical cycle is 34 days or shorter, they should collect according to the Normal/Short Cycle collection schedule included in the kit instructions.
Long Cycle
If the patient’s typical cycle is 34 days or longer, they should collect according to the Long Cycle collection schedule included in the kit instructions.
No Cycle
If the patient has functional ovaries without regular menstrual bleeding (partial hysterectomy, ablation etc.) they can begin collecting on any day and should follow the No Cycle collection schedule included in the kit instructions.
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NOT AVAILABLE FOR NEW YORK STATE ADDRESSES*
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.