Functional Hormone Testing
DUTCH Complete
DUTCH Complete
Hormone Panel
The gold standard in functional hormone testing. DUTCH Complete goes far beyond a standard blood panel, measuring how your body produces, uses, and clears hormones across a full day, giving Chelsea a complete picture of your hormonal health that blood tests simply cannot provide.
Home Collection Kit
No Blood Draw
Sex and Adrenal Hormones
Hormone Metabolites
Cortisol Rhythm
HRT Monitoring
Telehealth Available
Book Your Functional Intake
What It Measures
About DUTCH Complete
Your hormones tell
Your hormones tell
a complex story.
DUTCH stands for Dried Urine Test for Comprehensive Hormones. It is a patented testing method developed by Precision Analytical that collects urine on filter paper at four to five specific time points throughout the day, then dries and mails the samples to the lab.
What makes DUTCH Complete different from standard hormone blood tests is not just what it measures, but how it measures. Blood tests capture total hormone levels at a single moment. DUTCH Complete captures hormone metabolites showing exactly how your liver and gut process and clear each hormone, your cortisol rhythm across the entire day rather than a single morning draw, and markers of oxidative stress that impact hormone balance.
At Orchid Wellness, DUTCH Complete is ordered during your functional wellness intake with Chelsea Asante, FNP-C. The $275 intake fee covers your consultation only. The DUTCH Complete test is billed separately. Results are reviewed in a dedicated follow-up appointment where Chelsea translates your hormone pattern into a clear, actionable plan. Available via telehealth across Texas, New York, Virginia, and Washington DC.
Book Your Functional Intake How It WorksDUTCH Complete
Dried Urine Test for
Comprehensive Hormones
Comprehensive Hormones
Collected at home on filter paper at 4 to 5 time points throughout the day
Measures hormone metabolites, not just total hormone levels
Captures full cortisol rhythm from waking through bedtime
Includes melatonin, oxidative stress marker 8-OHdG, and more
Results reviewed by Chelsea Asante, FNP-C in a dedicated appointment
Requires a Functional Wellness Intake
$275
Consultation fee for your functional wellness intake with Chelsea. The DUTCH Complete test is billed separately. Cherry financing available at pay.withcherry.com/orchid-wellness
Why DUTCH Complete
What standard testing
What standard testing
misses entirely.
Most patients come to Chelsea having already had hormone blood work done. Here is what that testing shows and what it does not.
| What is being measured | Standard Blood Test | DUTCH Complete |
|---|---|---|
| Total estrogen level | Single snapshot | ✓ All three estrogens plus metabolites |
| How estrogen is cleared | Not measured | ✓ Full methylation and hydroxylation pathways |
| Progesterone | Single snapshot | ✓ Progesterone metabolites showing true tissue exposure |
| Testosterone | Total only | ✓ Free and total with metabolites |
| DHEA | Single serum draw | ✓ DHEA-S metabolites reflecting adrenal output |
| Cortisol rhythm | Morning draw only | ✓ Four to five time points across the full day |
| Cortisol metabolites | Not measured | ✓ Shows true cortisol production and clearance |
| Melatonin | Not measured | ✓ Sleep hormone output captured |
| Oxidative stress marker | Not measured | ✓ 8-OHdG indicating cellular oxidative damage |
| HRT monitoring | Partial picture only | ✓ Comprehensive monitoring of absorbed and metabolized hormones |
Panel Breakdown
Everything DUTCH Complete
Everything DUTCH Complete
measures.
DUTCH Complete is one of the most comprehensive hormone panels available. Here is a breakdown of each category measured and what clinical patterns it reveals.
Estrogen Profile
Measures estradiol, estrone, and estriol plus their downstream metabolites through hydroxylation and methylation pathways. Shows not just how much estrogen you have but whether your body is clearing it safely or accumulating potentially problematic forms.
Reveals patterns like
Progesterone Metabolites
Urinary progesterone metabolites provide a more accurate picture of tissue progesterone exposure than serum progesterone alone, which can be highly variable. Particularly useful for evaluating luteal phase deficiency, PMS, and progesterone supplementation response.
Reveals patterns like
Androgen Panel
Measures testosterone, DHEA-S, and their metabolites including androsterone and etiocholanolone. Provides insight into androgen production, conversion, and clearance relevant to libido, energy, mood, hair loss, and acne patterns.
Reveals patterns like
Cortisol Rhythm
Four to five cortisol measurements throughout the day capture the full diurnal cortisol curve. This reveals patterns of HPA axis dysregulation including flat curves, inverted curves, or high evening cortisol that a single morning blood draw completely misses.
Reveals patterns like
Cortisol Metabolites
Total cortisol metabolites reflect actual cortisol production, separate from cortisol clearance. A patient can have normal serum cortisol but high or low metabolites indicating their body produces excess cortisol or clears it too slowly.
Reveals patterns like
Melatonin and Sleep Markers
The DUTCH Complete captures melatonin output through its urinary metabolite, providing insight into sleep architecture and circadian rhythm function. Low melatonin is often a missing piece in patients with insomnia, early waking, or disrupted sleep cycles.
Reveals patterns like
Oxidative Stress Marker
8-OHdG is a marker of oxidative damage to DNA. Elevated levels indicate systemic oxidative stress that accelerates aging, damages cells, and can impair hormone receptor function. This marker is unique to DUTCH and not available on standard panels.
Reveals patterns like
Methylation Markers
The estrogen metabolite ratios on DUTCH Complete directly reflect methylation capacity, the process your body uses to safely clear estrogen. Poor methylation, often linked to MTHFR variants, can lead to estrogen accumulation and increased health risk.
Reveals patterns like
HRT Monitoring
For patients on hormone replacement therapy, DUTCH Complete is the most reliable way to monitor absorbed and metabolized hormone levels. It confirms whether your current regimen is working, whether doses need adjustment, and whether hormone clearance is occurring safely.
Reveals patterns like
Who Should Consider DUTCH Complete
If your hormones have
If your hormones have
never been fully explained.
DUTCH Complete is for patients whose hormone symptoms have not been fully addressed by standard testing or treatment. These are the most common presentations Chelsea sees.
Perimenopause and Menopause
Hot flashes, night sweats, mood swings, brain fog, sleep disruption, and vaginal dryness that have not been fully resolved. DUTCH Complete gives Chelsea a complete hormone picture to guide a targeted approach.
PMS and Cycle Irregularities
Severe PMS or PMDD, irregular or absent cycles, heavy or painful periods, and mid-cycle spotting. Often driven by estrogen-progesterone imbalance that standard blood work does not fully capture.
HRT Monitoring
Currently on estrogen, progesterone, or testosterone therapy and want to confirm it is working, absorbed, and being cleared safely. DUTCH Complete is the most comprehensive monitoring tool available for HRT patients.
Fatigue and Sleep Issues
Unrefreshing sleep, insomnia, afternoon energy crashes, and wired-but-tired patterns are often rooted in cortisol rhythm dysfunction or low melatonin output. DUTCH Complete captures both.
Mood and Cognitive Symptoms
Anxiety, depression, brain fog, irritability, and mood instability that fluctuate with the cycle or worsen over time. Hormone metabolite patterns often explain what neurotransmitter-focused treatment has missed.
Weight and Metabolism
Unexplained weight gain especially around the abdomen, difficulty losing weight despite effort, and metabolic slowdown often have a hormonal root cause that DUTCH Complete can identify and address.
The Process
Simple collection.
Simple collection.
Comprehensive results.
The DUTCH Complete collection process is straightforward and done entirely at home. Most patients find it easier than a blood draw. Here is what to expect from intake to results.
01
Book Your Functional Intake
Schedule your $275 functional wellness intake with Chelsea. This consultation is where Chelsea reviews your symptoms and health history and determines whether DUTCH Complete is the right test for you. The test itself is billed separately. Available in-person in Carrollton, Texas and via telehealth across Texas including Dallas Fort Worth, Houston, and Austin, as well as New York, Virginia, and Washington DC.
02
Receive Your Collection Kit
A DUTCH Complete collection kit is mailed directly to you. The kit includes filter paper strips, detailed collection instructions, and a prepaid return mailer to the lab.
03
Collect at Home
You urinate on the filter paper strips at four to five specific time points, including waking, morning, afternoon, bedtime, and sometimes a middle-of-the-night collection. Strips air dry overnight and are mailed to the lab.
04
Results Review and Plan
Results return in 2 to 3 weeks. Chelsea reviews your full hormone pattern with you in a dedicated appointment and builds a targeted intervention plan based on your specific results and health goals.
Collection Timing
Four to five collections.
Four to five collections.
All from home.
The DUTCH Complete protocol captures hormone patterns across the full day. Exact timing instructions are included with your kit and confirmed at your intake.
Waking
First morning collection immediately on waking, before eating or drinking. Captures the cortisol awakening response.
Morning
Mid-morning collection. Captures cortisol as it descends from its morning peak.
Afternoon
Afternoon collection. Captures the midday cortisol level and early afternoon curve.
Bedtime
Bedtime collection after lights out. Captures evening cortisol and melatonin output.
Optional
A middle-of-night collection may be requested depending on your symptoms and clinical picture.
Important Notes Before You Collect
Certain supplements can interfere with results. Chelsea will provide a list of what to pause before collecting.
Women with cycles should collect on specific days of their cycle. Chelsea will confirm the optimal day range at your intake.
Women on HRT should collect at specific times relative to their last dose. Chelsea will provide exact instructions.
Biotin supplementation should be stopped 72 hours before collection as it can interfere with hormone assays.
Do not collect during illness, acute stress, or unusual sleep disruption as this can skew cortisol readings.
Collections should reflect a typical day, not one with extreme exercise, travel, or alcohol consumption.
Results typically return within 2 to 3 weeks from when the lab receives your sample.
Explore All Functional Tests
Other testing available
Other testing available
at Orchid Wellness
DUTCH Complete is one of several advanced functional tests available through your intake consultation. Explore the full range of testing options below.
HTMA
Hair Tissue Mineral Analysis
Mineral and heavy metal assessment via hair sample
DUTCH Complete
DUTCH Complete Hormone Panel
Comprehensive sex hormone and adrenal assessment
DUTCH Adrenal
DUTCH Adrenal Panel
Cortisol rhythm and adrenal function across the day
GI-MAP
GI-MAP Stool Analysis
DNA-based comprehensive gut microbiome assessment
IgG / IgA
Food Sensitivity Panel
Delayed food reactivity driving chronic inflammation
OAT
Organic Acids Test
Cellular metabolism, mitochondria, and neurotransmitters
Micronutrient
Intracellular Micronutrient Panel
Vitamins, minerals, and antioxidants at the cellular level
MTHFR
MTHFR and Methylation Panel
Genetic variants affecting detox, mood, and cardiovascular risk
Frequently Asked Questions
DUTCH Complete FAQ
DUTCH stands for Dried Urine Test for Comprehensive Hormones. It is a patented testing method developed by Precision Analytical that uses dried urine samples collected at specific times throughout the day to measure hormone levels and their metabolites far more comprehensively than standard blood testing.
Standard blood tests measure total hormone levels at a single point in time. DUTCH Complete measures hormone metabolites showing how your body processes and clears hormones, your cortisol rhythm across the full day through four to five collections, melatonin output, and oxidative stress markers that blood tests cannot capture. The result is a far more complete and clinically actionable picture of your hormonal health.
Yes. The functional wellness intake and results review are both available via telehealth in Texas, New York, Virginia, and Washington DC. The $275 intake fee covers your consultation. The DUTCH Complete test is billed separately and is a home collection kit. You collect urine samples on filter paper strips at specific time points, let them dry overnight, and mail them to the lab in the prepaid return envelope. No clinic visit required for the collection.
For women with active menstrual cycles, the DUTCH Complete is typically collected on days 19 through 22 of the cycle, during the luteal phase when progesterone is at its peak. For women in perimenopause or menopause, or those on HRT, Chelsea will confirm the optimal collection timing at your intake based on your specific situation.
Results typically return within 2 to 3 weeks after the lab receives your sample. Chelsea schedules your results review appointment at your intake so you have a time on the calendar before your results arrive. You will not be left waiting and wondering.
DUTCH Complete is a functional wellness test and is not covered by insurance. It is direct-pay. HSA and FSA cards are accepted for the intake consultation and separately for the test itself. Cherry financing is available through pay.withcherry.com/orchid-wellness to spread the cost into manageable monthly payments.
DUTCH Complete covers the full hormone picture including sex hormones, hormone metabolites, cortisol rhythm, melatonin, and oxidative stress. DUTCH Adrenal is a focused test measuring only cortisol and DHEA across four time points, designed specifically for adrenal fatigue and HPA axis assessment. Chelsea will recommend the right test based on your symptom picture at your intake. In some cases both tests are ordered together.
Ready to Understand Your Hormones
Your hormones have been
trying to tell you something.
Let's listen.
Your $275 functional wellness intake is your starting point. During that visit Chelsea determines which tests are right for you, including DUTCH Complete, which is billed separately. In-person in Carrollton, Texas or via telehealth across Texas, New York, Virginia, and Washington DC.
Book Your Functional Intake Free Discovery Call