No referral needed

Physician-facilitated ordering

HSA/FSA eligible

Results in 1–2 weeks


🩸 Blood draw · LabCorp  ·  🏠 At-home · Dried urine

DUTCH Complete + Ovarian Reserve & Menopausal Transition Panel + Lab Results Education Report

Hormone Horizons Bundle

Save $79 vs. ordering separately

This bundle pairs two different angles on the same question: what’s happening with your hormones right now, and what does the road ahead look like? The Ovarian Reserve & Menopausal Transition Panel measures key values involved in ovarian function and reproductive aging, giving you general educational context about where you may be in the menopausal transition. The DUTCH Complete looks at how your body is currently producing and metabolizing hormones, including sex hormones, adrenal patterns, and key nutritional and neuro-related markers.

Perimenopause can last anywhere from 2 to 10 years, and hormone levels often fluctuate dramatically from one cycle to the next — which is why many women are told they’re “too young for menopause” or receive conflicting answers based on a single test. Together, these two panels give you objective data to complement your symptoms and menstrual history. The DUTCH Complete builds on what the Ovarian Reserve & Menopausal Transition Panel tells you, adding a fuller picture of how your body is metabolizing hormones, including hormone levels, adrenal patterns, and organic acids.

 

Important: The Ovarian Reserve & Menopausal Transition Panel is not designed to diagnose menopause, which remains a clinical diagnosis defined as 12 consecutive months without a period. Instead, these values help identify trends in ovarian aging and provide valuable context when symptoms and history don’t tell the whole story.

This bundle is a good fit if you are…


In your 40s through early 50s and want to understand both where you are in the menopausal transition and how your body is metabolizing hormones

Experiencing irregular periods or changing menstrual cycles

Wanting more information about where you may be in the menopausal transition alongside a deeper look at hormone metabolism

Considering HRT and want both ovarian aging data and a complete hormone profile before starting

Currently on HRT and want deeper insight into how your body is processing your hormones beyond circulating levels

Still cycling, even if irregular or unpredictable

Seeking a clearer picture of ovarian aging beyond what symptoms alone can tell you

Experiencing unexplained hormonal symptoms and want to assess both ovarian function and hormone metabolism together

Wanting to assess adrenal function, cortisol patterns, nutritional and neuro-related markers alongside ovarian health

Symptoms you may be experiencing

Acne
Amenorrhea
Anxiety
Blood sugar dysregulation
Brain fog
Breast tenderness
Chronic pain
Cycle irregularities
Cycle-related mood changes
Cysts
Depression
Dysmenorrhea
Dyspareunia
Perimenopause symptoms
Endometriosis
Excessive body hair
Excessive facial hair
Exercise intolerance
Fatigue
Fibroids
Hair loss
Heavy bleeding
Hirsutism
Hot flashes
Insomnia
Irregular cycles
Irritability
Long cycles
Low libido
Low motivation
Mastalgia
Menorrhagia
Mood changes
Night sweats
Obesity
Osteoporosis
Overweight
Pain with sex
Panic attacks
PCOS
Pelvic pain
PMDD
PMS
Poor cognition
Poor muscle mass
Poor sleep
Short cycles
Uncertain menopausal status
Unexplained hormonal symptoms
Vaginal dryness
Weight gain

Hormone Replacement Therapy & Contraceptive Considerations

The DUTCH Complete measures endogenous hormones your body produces naturally, as well as bioidentical hormones being supplemented. It is not able to measure synthetic hormones found in hormonal contraceptives or their metabolites. Please keep the following in mind:

Hormone Replacement Therapy

Appropriate for:


Oral micronized progesterone

Estradiol (E2): patches, gels, creams, vaginal creams & pellets

Testosterone: best used as a complementary test to serum testosterone when on transdermal, injection, or pellet testosterone HRT

Contraceptives

Appropriate for:


Non-hormonal contraceptives (copper IUD)

Limited insight into sex hormones & metabolites:


Combination hormonal contraceptives (oral, patches, rings, or Depo-Provera shot)
  • Results may mimic postmenopausal ranges for progesterone, and estrogen production may drop to baseline
  • Testosterone may appear artificially suppressed

Progestin-only contraceptioves (IUDs, pills, implants)
  • Progesterone levels may remain low and may not show a typical monthly spike
  • Estrogen may appear normal, fluctuating, or low

Markers Included

Ovarian Reserve & Menopausal Transition Panel

AMH (Anti-Mullerian Hormone)
FSH (Follicle Stimulating Hormone)
LH (Luteinizing Hormone)
Estradiol (E2)
Inhibin A
Inhibin B

DUTCH Complete

Sex Hormones & Metabolites

a-Pregnanediol
b-Pregnanediol
DHEA-S
Androsterone
Etiocholanolone
Testosterone
5a-DHT
5a-Androstanediol
5b-Androstanediol
Epi-Testosterone
Estrone (E1)
Estradiol (E2)
Estriol (E3)
2-OHE1
4-OHE1
16-OHE1
2-MeOE1
2-OH-E2
4-OH-E2

Cortisol & Metabolites

Diurnal Pattern of Free Cortisol
Diurnal Pattern of Free Cortisone
a-Tetrahydrocortisol
b-Tetrahydrocortisol
b-Tetrahydrocortisone
Metabolized Cortisol (THF+THE)

Nutritional & Neuro-related Organic Acids

Dopamine
Norepinephrine/Epinephrine
Vitamin B6
Vitamin B12
Glutathione
Quinolinate
Indican
Biotin

Additional Markers

8-OHdG
Melatonin

Estimated Turnaround Time

Kit Delivery (DUTCH Complete)

Approximately 3–5 business days after your order is processed

Requisition Delivery (Ovarian Reserve & Menopausal Transition Panel): Available in your Practice Better portal within 1–2 business days of your order being processed

Lab Processing: DUTCH Complete: approximately 10–14 business days after sample receipt · Ovarian Reserve Panel: approximately 5–10 business days after your blood draw

Lab Results Education Report: Approximately 3 business days of receiving your results, then delivered together to your Practice Better portal

State Availability

This bundle is only available to residents of the continental United States. Please note the additional following restrictions:


Not available to residents of New York, New Jersey, or Rhode Island due to state regulations.

Not sure if this bundle is right for you?

Contact us at info@positywellness.com before placing your order.

Best Value$779 one-timeAlso includes a lab results education report

Save $79 vs. ordering separately$459 + $399 = $858 individually

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