6 Comments

Dear Dr Jen, Thanks for your enlightening articles. Could you please comment on or write an article on the DUTCH test which seems to show how we metabolise estrogen and conclude on our risk for developing breast/endometrial cancer. I have been told that my body favours the “bad” 4 HO pathway and that I should not be on HRT. It’s frightening me that there is such controversy about this, many reputable doctors endorse this test as the “gold standard hormone test” whilst others like my present gynaecologist and yourself dismiss it as pointless. How are we to know whom to trust? Thank you

Expand full comment
author

The DUTCH test is not indicated for any reason. I wrote about it previously https://vajenda.substack.com/p/dirty-estrogen-and-the-dutch-test

Expand full comment

Thank you!

Expand full comment

I also am dying tok know. I'm not ready to spend my good money for something I don't have scientific proof it is useful. For me it would be (if truly useful) to know how my body converts testosterone. I've had some super strange paradoxical reactions to DHT blockers and I suffer from alopecia (truly androgenetic? Partially androgenetic and partially estrogen deficiency on the scalp receptors? I read countless academic studies with mixed results. I'd also like to know the cancer risk, given my familiarity, starting from estrogen metabolites. If it's that even a thing. So Dutch test is a scam too? I'm so discouraged. We are left alone in a sea of doctors saying one thing and the exact opposite.

Expand full comment

I love how you explain things to us. You break it down and really help us understand. Thank you for continuing to educate us woman so well! You’re appreciated! Love your posts!

Expand full comment

Thank you so much for this article! A couple of months ago I was so desperate about all my health issues and doctors not listening that I was heavily considering this test (in Hungary, you can just get all sorts of tests done in private labs without someone having to order it). Since I wasn't quite sure what I'd do with the results, I decided not to get it. What a waste of money it would've been!

Expand full comment