DUTCH Cycle Mapping Plus Cortisol Awakening Response


Cycle Mapping™ PLUS combines the full picture of a woman’s cycle and adds salivary measurements of the Cortisol Awakening Response (CAR) to bring another important piece of the HPA axis into focus and answer important questions for patients with month-long symptoms, infertility, and PCOS.

View a DUTCH Plus Cycle Mapping Sample Report


Cycle Mapping is ideal for ladies who are of child-bearing age but who have an irregular or absent menstrual cycle so that we can measure your hormone levels across the month rather than just on one day.

In a normal menstrual cycle, oestrogen levels start off low and surge as a woman approaches ovulation. Modest levels of oestrogen are then maintained for the latter half of the cycle, only falling just before a woman’s next period. Progesterone levels, on the other hand, stay relatively low until after ovulation. Then, levels increase 10-fold or more for the second half of the cycle, before dropping back down in the run-up to menstruation. A disruption in this pattern can lead to an irregular cycle, fertility problems or hormonal imbalances.
By using 25 different dried urine samples from key time points in the month the DUTCH Cycle Mapping test is able to determine whether a woman’s hormones rise and fall at the correct times.


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