# DUTCH Complete Test - Link: https://myorchidwellness.com/dutch-complete-test/ - Published: 2026-05-25T22:52:57-05:00 - Author: Chelsea šŸ‘©šŸ¾ā€šŸ’» Telehealth available in TX, NY, VA & DC, including **weekends & evening hours** at [telehealth.myorchidwellness.com](https://telehealth.myorchidwellness.com) [Home](https://myorchidwellness.com/)/[Functional Wellness](https://myorchidwellness.com/functional-wellness/)/ DUTCH Complete Functional Hormone Testing Ā ā€¢Ā  Carrollton, TX & Telehealth # DUTCH Complete Test:āŽ _Your Full Hormone Picture_ Your hormone blood work came back normal, but you still donā€™t feel like yourself. DUTCH Complete measures how your body makes, uses, and clears hormones across a full day, giving Chelsea a far more detailed picture than a single blood draw. Home Collection Kit No Blood Draw Sex and Adrenal Hormones Hormone Metabolites Cortisol Rhythm Telehealth Available [Book Your $250 Consultation](https://myorchidwellness.com/dutch-complete-test/#book) [What It Measures](https://myorchidwellness.com/dutch-complete-test/#measures) About DUTCH Complete ## Your hormones tellāŽ _a complex story._ DUTCH stands for Dried Urine Test for Comprehensive Hormones. Developed by Precision Analytical, it uses urine collected on filter paper at four or five times over about a day. The samples dry and are mailed to the lab, with no blood draw needed. Blood tests usually show a hormone level at one moment. DUTCH Complete also measures hormone metabolites, which show how your body processes and clears estrogen, progesterone, testosterone, and cortisol. It maps your cortisol rhythm across the day and adds melatonin, an oxidative stress marker, and six organic acids. At Orchid Wellness, DUTCH Complete is ordered through your $250 functional consultation with Chelsea Asante, FNP-C. The test is billed separately, and your results are reviewed live, in person in Carrollton or by telehealth across Texas, New York, Virginia, and Washington DC. [Book Your Consultation](https://myorchidwellness.com/dutch-complete-test/#book) DUTCH Complete Dried Urine Test for Comprehensive Hormones Home collection at four or five times over about a day Sex hormones plus the metabolites that show how they are cleared Free cortisol and cortisone rhythm, plus cortisol metabolites Melatonin, the oxidative stress marker 8-OHdG, and six organic acids Results reviewed live with Chelsea Asante, FNP-C Starts With Your Functional Consultation $250 Consultation fee. The DUTCH Complete is billed separately. HSA, FSA, and [Cherry payment plans](https://myorchidwellness.com/cherry/) accepted. Why DUTCH Complete ## What a standard hormone panelāŽ _canā€™t show you._ Many patients come to Chelsea after hormone blood work that came back ā€œnormal.ā€ Here is what that testing shows, and what DUTCH Complete adds. | What is assessed | Standard Blood Test | DUTCH Complete | | Estrogens | Estradiol only, single snapshot | āœ“Estradiol, estrone, and estriol plus their metabolites | | How estrogen is cleared | Not measured | āœ“2-OH, 4-OH, and 16-OH pathways plus methylation | | Progesterone | Single snapshot that can vary widely | āœ“Progesterone metabolites reflecting overall exposure | | Testosterone and androgens | Testosterone level only | āœ“Testosterone, DHEA-S, and androgen metabolites | | Cortisol rhythm | Morning draw only | āœ“Free cortisol and cortisone across the day | | Cortisol metabolites | Not measured | āœ“Overall cortisol production and clearance | | Melatonin | Not measured | āœ“Overnight melatonin output (6-OHMS) | | Oxidative stress | Not on a standard hormone panel | āœ“8-OHdG marker included | | Nutrient and neurotransmitter markers | Not on a standard hormone panel | āœ“Six organic acids, including B12, B6, glutathione, dopamine, and norepinephrine markers | Hormone Pathways ## Itā€™s not just how much.āŽ _Itā€™s where your hormones go._ Your body processes hormones through different pathways. DUTCH Complete shows which ones you favor, which helps Chelsea tailor your plan. šŸŒæ ### 2-OH Pathway Often called the protective pathway. Estrogen processed this way is generally considered the gentler, less active form. May point to Healthy clearanceFavorable estrogen balance āš ļø ### 4-OH Pathway A smaller pathway that can create reactive compounds if they are not cleared well. Research links poorly cleared 4-OH estrogens with oxidative damage. May point to Clearance support neededOxidative stress šŸ”„ ### 16-OH Pathway A more active, growth-promoting form of estrogen. When much of your estrogen goes this way, symptoms of estrogen excess may be more likely. May point to Heavy or painful periodsBreast tendernessFluid retention šŸ§¬ ### Methylation Methylation helps neutralize 2-OH and 4-OH estrogens so they can leave the body. DUTCH shows how well this step is working. May point to Methylation capacityPossible MTHFR impact āš–ļø ### Estrogen and Progesterone Balance Progesterone balances estrogenā€™s effects. Low progesterone relative to estrogen is a common pattern in PMS and perimenopause. May point to PMSIrregular cyclesSleep and mood changes šŸ”€ ### Androgen Pathways Testosterone and DHEA can be converted into stronger or weaker forms. DUTCH shows which direction your body favors. May point to Acne or hair thinningLow libidoHigher androgen patterns What It Measures ## Everything DUTCH CompleteāŽ _measures._ DUTCH Complete is one of the most comprehensive hormone panels available. Here is what each part of the panel looks at and the patterns it can help reveal. šŸŒø ### Estrogens and Metabolites Estradiol, estrone, and estriol, plus the 2-OH, 4-OH, and 16-OH metabolites that show how your body processes estrogen. May reveal patterns like: Estrogen excessClearance concernsPathway balance šŸŒ™ ### Progesterone Metabolites Urine progesterone metabolites reflect overall progesterone exposure and are less variable than a single blood level. May reveal patterns like: Low luteal progesteronePMS patternEstrogen to progesterone balance āš” ### Androgens and Metabolites Testosterone, DHEA-S, and androgen metabolites, including the 5-alpha and 5-beta pathways linked to hair, skin, and libido. May reveal patterns like: Low testosteroneHigher androgen patternsDHEA status ā±ļø ### Daily Cortisol and Cortisone Free cortisol and cortisone measured across the day map your stress response rhythm from waking through bedtime. May reveal patterns like: Flat or inverted curveHigh evening cortisolHPA axis patterns šŸ“Š ### Cortisol Metabolites Total cortisol metabolites reflect how much cortisol you make overall, separate from how quickly your body clears it. May reveal patterns like: Overall cortisol outputClearance rate šŸ˜“ ### Melatonin Melatonin is measured through its metabolite 6-OHMS in your waking sample, reflecting overnight melatonin output. May reveal patterns like: Low melatonin outputCircadian disruption šŸ”¬ ### Oxidative Stress (8-OHdG) 8-OHdG is a marker of oxidative damage to DNA. Higher levels may point to a greater need for antioxidant support. May reveal patterns like: Oxidative stressAntioxidant needs šŸ§Ŗ ### Organic Acids Six organic acids act as markers for vitamin B12, vitamin B6, glutathione, dopamine, norepinephrine, and gut health. May reveal patterns like: B12 or B6 needsGlutathione statusNeurotransmitter activity šŸ§¬ ### Methylation Activity Estrogen metabolite ratios show how well your body methylates, the step that helps safely clear estrogen. May reveal patterns like: Methylation capacityPossible MTHFR impact Who Itā€™s For ## If your hormones haveāŽ _never been fully explained._ šŸŒ”ļø ### Perimenopause and Menopause Hot flashes, night sweats, mood swings, brain fog, poor sleep, or vaginal dryness that havenā€™t fully improved. šŸ“… ### PMS and Cycle Changes Severe PMS, irregular or missed cycles, heavy or painful periods, or spotting that standard blood work hasnā€™t explained. šŸ’Š ### HRT Monitoring On estrogen, progesterone, or testosterone therapy and want a closer look at how it is being used and cleared. DUTCH is especially useful for topical estrogen; Chelsea will tell you if your form of HRT is better checked with blood work. šŸ˜“ ### Fatigue and Sleep Issues Unrefreshing sleep, insomnia, afternoon crashes, or a wired-but-tired feeling, which can be linked to cortisol rhythm or low melatonin. šŸ§  ### Mood and Focus Anxiety, low mood, irritability, or brain fog that shifts with your cycle or has worsened over time. āš–ļø ### Weight and Metabolism Weight gain around the abdomen or trouble losing weight despite real effort, where hormones may be part of the picture. The Process ## From consultationāŽ _to answers._ 01 Book Your Consultation Book your $250 functional consultation and complete your intake through your patient portal. Chelsea determines whether the DUTCH Complete is right for you. The test is billed separately. 02 Receive Your Kit A DUTCH Complete kit is mailed to you with filter paper strips, instructions, and a prepaid return mailer. 03 Collect at Home Collect urine on the filter paper strips four or five times over about a day, on the cycle day Chelsea gives you if you have periods. Strips air dry and are mailed to the lab. 04 Live Results Review Results typically return in about 2 to 3 weeks. Chelsea reviews your full hormone pattern with you and builds a targeted plan. Before You Collect ## How to _prepare._ Waking Your first urine of the morning, before eating or drinking. Captures your first- morning cortisol level. Morning About 2 hours after waking. Captures cortisol as it comes down from its morning peak. Afternoon Late afternoon, at the time listed in your kit. Captures your afternoon cortisol level. Bedtime Right before bed. Shows whether cortisol has declined the way it should. Overnight Optional. Only if you wake during the night and Chelsea asks you to collect it. Exact collection times are listed in your kit instructions. * If you have regular periods, collect on the cycle days Chelsea confirms, usually days 19 to 22 of a 28-day cycle. * If you use hormone therapy, Chelsea will tell you when to collect relative to your last dose. * Stop biotin supplements 72 hours before collecting, since biotin can interfere with results. * Chelsea will tell you which supplements to pause. Never stop a prescription medication without talking with her first. * Collect on a typical day. Avoid alcohol, heavy exercise, and excess caffeine on collection day. * Donā€™t collect during an acute illness, after travel across time zones, or after a night of unusually poor sleep. Good to Know ## Results, cost, _and safety._ * Results typically return in about 2 to 3 weeks after the lab receives your sample. * Functional testing is direct-pay and not typically covered by insurance. HSA and FSA cards are accepted. * Home kits are mailed to patients in Texas, New York, Virginia, and Washington DC. **Please note:** DUTCH Complete adds detail to your hormone picture but does not diagnose medical conditions on its own. For oral or vaginal progesterone and testosterone therapy, blood work is often the better monitoring tool, and Chelsea will order it when needed. Tell Chelsea about any hormones, steroid medications (including inhalers and creams), or supplements you use. Explore All Functional Tests ## Other testing availableāŽ _at Orchid Wellness._ The DUTCH Complete is one of several functional tests available through your $250 functional consultation. [Learn about functional wellness](https://myorchidwellness.com/functional-wellness/) HTMA Hair Tissue Mineral Analysis Mineral levels and ratios, plus possible heavy metal exposure patterns, from a small hair sample. Learn more ā€ŗ DUTCH Complete DUTCH Complete Hormone Panel One of the most comprehensive functional hormone tests: sex hormones, cortisol rhythm, melatonin, and metabolites. You are here DUTCH Adrenal DUTCH Adrenal Panel Cortisol and DHEA across the day to show how your stress response (HPA axis) is functioning. Learn more ā€ŗ GI-MAP GI-MAP Stool Analysis DNA-based gut assessment covering the microbiome, pathogens, inflammation, and digestion. Learn more ā€ŗ IgG / IgA Food Sensitivity Panel Delayed food reactivity that can guide a structured elimination and reintroduction plan. Learn more ā€ŗ OAT Organic Acids Test Urine-based look at energy production, neurotransmitter metabolites, B vitamins, and yeast markers. Learn more ā€ŗ Micronutrient Intracellular Micronutrient Panel Vitamins, minerals, antioxidants, and amino acids measured at the cellular level. Learn more ā€ŗ MTHFR MTHFR and Methylation Panel Genetic variants in your methylation pathway, interpreted alongside homocysteine, folate, and B12. Learn more ā€ŗ Frequently Asked Questions ## DUTCH Complete _FAQ_ DUTCH stands for Dried Urine Test for Comprehensive Hormones. It is a testing method developed by Precision Analytical that uses dried urine samples collected at set times to measure hormones and their metabolites. A blood test usually shows hormone levels at one moment. DUTCH Complete also shows how your body processes and clears hormones, maps your cortisol rhythm across the day, and adds melatonin, an oxidative stress marker, and organic acid markers. Blood tests are still the better choice for some questions, and Chelsea may use both. If you have regular periods, DUTCH Complete is usually collected on days 19 to 22 of a 28-day cycle, when progesterone is near its peak. If your cycles are irregular, or you are in perimenopause, menopause, or on HRT, Chelsea will confirm your timing during your consultation. It can for many forms of hormone therapy, especially topical estrogen such as patches, gels, and creams. For oral or vaginal progesterone and for testosterone therapy, blood work is often more reliable, so Chelsea may use DUTCH alongside blood testing or instead recommend blood work alone. Yes. Your intake is completed online, DUTCH Complete is a home collection kit, and your results review can be by telehealth in Texas, New York, Virginia, and Washington DC, or in person in Carrollton. Results typically return in about 2 to 3 weeks after the lab receives your sample. Once they are in, you meet with Chelsea for your live results review. DUTCH Complete includes the cortisol and DHEA markers on DUTCH Adrenal, plus sex hormones and their metabolites, melatonin, 8-OHdG, and organic acids. DUTCH Adrenal is a focused option when stress response, fatigue, and sleep are the main concerns. Chelsea will recommend the right test during your consultation, and you would not need both. Functional testing is generally direct-pay. HSA and FSA cards are accepted, and Cherry payment plans are available to eligible patients. āŒŠChelsea Asante, FNP-C, functional and integrative wellness provider at Orchid WellnessāŒ‰ Ready to Understand Your Hormones ## Your hormones have beenāŽ trying to tell you something._Letā€™s listen._ Your $250 functional consultation is your starting point. Chelsea will determine whether the DUTCH Complete is right for you, and the test is billed separately. Results reviews are in person in Carrollton, Texas or by telehealth across Texas, New York, Virginia, and Washington DC. Book your first available appointment at [app.myorchidwellness.com](https://app.myorchidwellness.com), or call or text [(469) 892-0194](https://myorchidwellness.com/dutch-complete-test/4698920194). Have your **legal first and last name, email, and phone number** ready. 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Payment plans are offered through Cherry and are subject to approval. Rates range from 0% to 35.99% APR based on eligibility. Cherry is not the lender.