DUTCH Cycle Mapping
The DUTCH Cycle Mapping test provides a detailed map of your entire menstrual cycle, monitoring daily hormonal fluctuations to identify abnormalities that regular one-day tests miss.
DUTCH Cycle Mapping
WHAT IS DUTCH CYCLE MAPPING?
DUTCH Cycle Mapping is an advanced endocrine diagnostic method that maps estrogen and progesterone levels throughout a complete menstrual cycle.
Unlike traditional tests that are performed on a single day (usually day 21), Cycle Mapping involves collecting dried urine samples at regular intervals throughout the month. This approach allows for a graphical visualization of the hormonal “curve”, providing essential clinical data on the timing of ovulation, the length of the follicular phase and the stability of the luteal phase.
The results of this profile are fundamental for investigating fertility problems and cyclical symptomatology, such as:
infertility of unknown cause
recurrent miscarriages (inadequate luteal phase)
abnormal bleeding or spotting between periods
severe hormonal migraines
premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD)


DUTCH Cycle Mapping
WHAT INFORMATION DOES THE CYCLE MAPPING REPORT PROVIDE?
Estrogen Trajectory (Estradiol, Estrone, Estriol) – monitoring pre-ovulatory growth and maintaining optimal levels in the luteal phase.
Progesterone Curve – confirming ovulation and evaluating progesterone production by the corpus luteum, essential for maintaining a pregnancy.
Ovulation Window Identification – pinpointing the exact moment of ovulation by correlating hormonal growth, much more accurate than classic ovulation tests.
Daily Estrogen/Progesterone Ratio – highlighting moments of estrogen dominance that can cause breast pain, irritability or bloating.
Luteal Phase Analysis – determining if progesterone drops prematurely, causing short cycles or difficulties in embryo implantation.
Integral Hormonal Metabolism – (if combined with the Complete profile) provides data on how these hormones are processed by the liver.
DUTCH Cycle Mapping
WHO IS THE DUTCH CYCLE MAPPING TEST FOR?
This profile is indicated for women who experience symptoms that vary throughout the month and for whom blood tests taken on a single day came out "within normal limits", although symptoms persist.
Categories of patients and pathologies targeted:
Infertility Patients: To check if there is an imbalance in the hormones that prepare the endometrium for implantation.
Women with Irregular or Anovulatory Cycles: To understand the reason for the lack of ovulation or variable cycle length.
Women with Early Peri-Menopause Symptoms: To assess hormonal reserves and the consistency of menstrual cycles.
Patients with PCOS (Polycystic Ovary Syndrome): To visualize the lack of the hormonal peak necessary for ovulation and chaotic fluctuations in estrogen.
Cases of Severe PMS/PMDD: To correlate sudden hormonal crashes with the patient's emotional states or migraines.

FAQ's
A single blood draw is just a “snapshot.” Many women have normal progesterone levels on day 21, but it drops too quickly on days 22-24, causing symptoms or infertility. Cycle Mapping shows the entire “story” of the month, not just a single paragraph, allowing for the identification of luteal phase defects that otherwise remain invisible.
The standard protocol involves collecting approximately 14-18 dried urine samples throughout the month. The frequency is higher around ovulation and less frequent the rest of the time. The kit contains precise instructions and a collection calendar adapted to the average cycle length of each patient.
Yes, and it is even recommended. While Cycle Mapping tracks quantity of estrogen and progesterone throughout the month, adding the Complete profile provides information about metabolism their adrenal function (cortisol) and oxidative stress markers, providing the most comprehensive hormonal diagnosis currently available.