The changing female body deserves more than a hormone snapshot. Begin with cycle history, nourishment, sleep, symptoms, and the daily conditions shaping your health.
By Dr. Michele Burklund, NMD · Updated November 1, 2026
Begin with the question, then choose the test. Food, sleep, movement, connection, oral care, and relevant environmental changes remain the foundation. Laboratory work is most useful when a finding could change a decision.
01 / THYROID & NOURISHMENT
Thyroid & Nourishment
Discuss thyroid assessment, CBC, ferritin, or selected nutrient tests when history and symptoms justify them. Blood tests should answer a specific question about fatigue, bleeding, intake, or absorption; they are not a reason to order every available nutrient panel.
02 / CYCLE & HORMONES
Cycle & Hormones
Timed reproductive hormones may clarify selected questions. In otherwise healthy people aged 45 or older with typical symptoms, perimenopause is usually identified clinically. A single estrogen or FSH result can miss cycle-to-cycle variation.
03 / METABOLIC HEALTH
Metabolic Health
Glucose assessment and cardiovascular risk review can be more useful than repeatedly measuring fluctuating sex hormones. A1c reflects longer-term glycemia but may be misleading with anemia or altered red-cell turnover.
04 / FEMININE ECOLOGY
Feminine Ecology
Vaginal testing may be considered for persistent or recurrent symptoms. Pair findings with tissue health, symptoms, examination, and a review of recent products or antimicrobials.
The tests in this collection.
Precision Analytical (DUTCH)
DUTCH Complete
What it measures
Sex hormones and selected metabolites, daily cortisol and cortisone patterns, and selected organic-acid markers.
Why it is here · When it may be useful
A clinician has a specific hormone-metabolism or daily rhythm question after reviewing cycle history, symptoms, and hormone use.
What ordering involves
Timed dried urine samples collected with the at-home kit. Record sleep timing, cycle day when relevant, hormone use, and collection times. Do not substitute DUTCH Complete, Plus, or Cycle Mapping schedules for one another.
Keep in mind
Daily patterns are affected by timing, medicines, and collection conditions. These tests do not diagnose grief or adrenal fatigue.
Selected markers of digestion, intestinal inflammation, and organisms in a one-day stool sample.
Why it is here · When it may be useful
Persistent digestive symptoms warrant a closer look after the diet, bowel pattern, medication history, and clinical assessment have been reviewed.
What ordering involves
Stool collected with the one-day at-home kit. Follow the selected laboratory instructions for collection days, sample handling, and recent antimicrobial or supplement use.
Keep in mind
A stool result is a snapshot. Microbial associations do not prove a cause of symptoms or establish one ideal microbiome; individual markers differ in clinical validation.
Serum iron, iron-binding capacity, transferrin saturation, and ferritin as a marker of iron stores.
Why it is here · When it may be useful
Heavy menstrual bleeding, dietary limitation, suspected depletion, or possible iron overload makes the iron pattern clinically relevant.
What ordering involves
Serum from a blood draw. The current storefront marks this test as requiring fasting. Follow the exact order instructions for duration and other preparation; discuss medication timing with the ordering clinician.
Keep in mind
Interpret with the reason for testing, symptoms, medical history, and the laboratory method. An isolated result is not a diagnosis.
Glycated hemoglobin and calculated estimated average glucose over roughly two to three months.
Why it is here · When it may be useful
There is a reason to assess longer-term glucose regulation alongside nourishment, movement, and sleep.
What ordering involves
Whole blood from a blood draw. A1c alone does not require fasting; other tests in the same order may.
Keep in mind
Anemia, hemoglobin variants, recent blood loss or transfusion, and altered red-cell turnover can affect interpretation. It does not reveal individual meal-related glucose peaks.
Vaginal microbial DNA using shotgun metagenomics, including relative abundance patterns and vaginal community state type.
Why it is here · When it may be useful
Persistent or recurrent vaginal symptoms raise a question about microbial patterns, with findings interpreted alongside examination and tissue health.
What ordering involves
Vaginal swab collected with the at-home kit. The listing describes this test for women over 18. Follow Tiny Health’s supplied vaginal-swab instructions for timing and preparation; do not apply another laboratory’s kit instructions.
Keep in mind
Interpret microbial detection with symptoms and examination. This is not a urine culture or a complete explanation for recurrent urinary symptoms.
Anti-Mullerian hormone, a marker that adds information about ovarian reserve.
Why it is here · When it may be useful
A fertility evaluation needs ovarian-reserve context, especially for anticipating response to ovarian stimulation.
What ordering involves
Serum from a blood draw. AMH can generally be measured on any cycle day; discuss recent hormone use and relevant clinical context.
Keep in mind
AMH informs ovarian reserve and anticipated response to stimulation. It does not measure egg quality or provide a definitive prediction of natural conception.
Blood-test timing depends on the clinical question. DUTCH collection is assay-specific; vaginal swabs follow the actual kit's preparation instructions.
Keep the limits in view.
No panel measures the entirety of hormonal wellbeing, and normal results do not invalidate symptoms.
Results belong within your history, symptoms, examination, medications, and the laboratory's method. A reference interval is not a universal target for every person. There is no single validated set of 'optimal' values that applies across all assays and life stages.
Availability, ordering requirements, collection fees, and eligibility vary by test and location. Review the current Fullscript listing and your clinician's instructions before purchasing.
No. Choose a test only when its result may change a useful decision, taking existing results, symptoms and your budget into account.
Does an out-of-range result identify the root cause?
Not by itself. Interpretation depends on the assay, collection, history and the pattern across findings. A result can be one clue without being the explanation.
Where can I see ordering requirements?
Open the individual Fullscript listing for current availability, specimen instructions and eligibility. A collection may include alternatives rather than tests intended to be purchased together.
