DUTCH Complete Test

MDLifespan does advanced hormone testing with Precision Analytical Inc.

The DUTCH Complete is a hormone test that evaluates 35 different hormones, including sex hormones, adrenal hormones, melatonin, and their metabolites. The test also includes organic acids, 8-OHdG, and neuro-markers. The DUTCH Complete can help identify symptoms of hormonal imbalances.

Men & Non-Cycling or Postmenopausal Women

• Collect any day

Cycling Women

• For women who cycle every 28 days: Begin collection between days 19 and 22, where day 1 is the first day of your menses (bleeding).
• For women with longer cycles (Over 28 days): Add the number of days past 28 to the 19-22 day window. FOR EXAMPLE: Women who cycle every 31 days should collect between days 22-25 where day 1 is the first day of your menses (bleeding).
• For women with shorter cycles (under 28 days): Subtract the number of days under 28 to the 19-22 day window. FOR EXAMPLE: Women who cycle every 26 days should collect between days 17-20 where day 1 is the first day of your menses (bleeding).
• For irregular cycles or non-cycling (ablation or uterus removed), watch the irregular cycle collection video in the video library at dutchtest.com/videos for suggestions on collecting.

While adhering to your most common wake/sleep schedule, collect as close as possible to the below timeline. No Alcohol, Caffeine or Large Fluid Intake after lunch before collecting the dinner sample. No more than one cup of fluids between Samples #3 and #4.

Watch Your Water/Fluid Consumption Do not drink any fluids for two hours before collecting each sample. We suggest you keep fluids to less than 32oz on day 1, and less than 8oz between waking (sample 3) and 2-hrs after waking (sample 4).

1. Complete all information on each collection device.
2. Saturate the filter paper by urinating directly on it OR use a clean cup and dip the filter paper. Leave the collection device open to dry for at least 24 hours.
3. Once dry, close each collection device. Place all devices in the resealable plastic bag and return them in the provided envelope. Be sure to include the completed requisition form (required) and the payment card (if needed).

Hormones taken at NIGHT (including oral progesterone) should be taken after the bedtime sample. Hormone creams or gels can be taken as usual during the test. If you are on testosterone injectable, the test should be done 2 days after the testosterone injection (high point) or one day before your next testosterone injection (low point). All hormones taken in the MORNING should not be taken until after sample #4.

If you take glucocorticoids (Prednisone, Dexamethasone, etc.), check with your practitioner.

What if I miss a collection?

Simply collect the sample as instructed the following day. All samples do not need to be collected in one 24-hour period.

Do I have to take the samples in the order listed?

No, they can be collected in a different order. If you wish you may start with sample #3, followed by #4, #1 & #2. If you begin with #3, collect the extra sample if you wake and urinate in the night.

How long can I keep the dried samples before sending them in?

While hormone levels are very stable in dried samples, they should be returned as soon as possible. If you must wait to send your samples back to the lab, place them in the freezer (in a plastic bag) after drying.

Do I need to stop taking my hormones for this test?

This test is built to test patients “on” their hormones. Our suggestion is to follow the Hormone Schedule (listed previously), and any specific instructions given by your provider.

What if my sleep schedule is abnormal (night workers, etc.)?

Collect the bedtime sample (#2) before your longest stretch of sleep, the waking sample (#3) after this sleeping period, and sample #4 two hours later. The dinnertime sample (#1) should be collected 4-7 hours before bed.

What if I am unable to urinate at the specific time?

Simply drink some fluids and go as soon as you are able.

Is DUTCH testing appropriate for children?

The minimum age for testing is 12 years old.