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DUTCH Complete Hormone Test

Dried Urine Hormone and Metabolite Testing

What is This Test?

You can review selected sex hormones, hormone metabolites, and daily urinary cortisol patterns with DUTCH Complete. Your collection timing, medicines, and menstrual status can affect interpretation. This panel does not provide a complete picture of hormone health or diagnose the cause of symptoms by itself; your clinician may recommend blood or other testing instead or in addition.

Confirm the exact panel, eligibility, preparation, and timing in your Fullscript order and current lab instructions. Kit instructions take priority over this general summary. Do not stop prescribed medicines without your clinician's guidance. Laboratory certification does not establish that every proposed clinical use is validated.

Biomarkers Tested

Cortisol & Adrenal Hormones

  • Free cortisol pattern (4 points)
  • Cortisone
  • Total cortisol metabolites
  • DHEA and metabolites

Estrogen Metabolism

  • Estradiol (E2)
  • Estrone (E1)
  • Estriol (E3)
  • 2-OH, 4-OH, 16-OH estrogen metabolites
  • Methylation of estrogens

Progesterone & Androgens

  • Progesterone metabolites
  • Testosterone
  • DHT (dihydrotestosterone)
  • Androgen metabolites

Additional Markers

  • Melatonin
  • 8-OHdG (oxidative stress)
  • Organic acids for B12 and B6
  • Dopamine and norepinephrine metabolites

What Should You Discuss Before Testing?

Test Selection

Discuss which sample type and collection schedule fit your clinical question.

Treatment Decisions

Review results with the clinician managing your care; do not adjust hormones based on the report alone.

Understanding Your Results

Your DUTCH results provide a detailed hormone picture with metabolite pathways and daily cortisol curves.

What You Can Review:

  • 1Hormone overview with visual graphs
  • 2Daily urinary free cortisol pattern (not a cortisol awakening response test)
  • 3Estrogen production and metabolism pathways
  • 4Progesterone and androgen levels
  • 5Selected additional urine metabolites
  • 6Collection and medication context
  • 7Questions for the clinician managing your care

How to Test

Urine Sample
Urine Sample

Timed dried urine collection at home

  1. 1Receive your collection kit with filter paper strips
  2. 2Collect urine samples on the filter paper using the current kit's timing schedule
  3. 3Follow the timing schedule provided (typically 4-5 samples)
  4. 4Let samples dry and mail back using the prepaid shipping label
  5. 5Results are typically available 14-21 days after completing your test
Lab timing varies by test

Personal analysis included with testing

Alyssa's personal analysis is covered by the education resource fee shown when you purchase testing in Fullscript. Start with the quiz for individual testing guidance; checkout on this website remains paused.

Need Help Choosing?

Start the Gut First Gut Health Quiz. Alyssa reviews your answers before following up with guidance.

Take the Gut First Gut Health Quiz

Collection Method

Urine Sample