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Get clarity about your health

Whether you need quick answers or an ongoing plan, Vital Fertility combines advanced lab testing with provider-reviewed guidance, on your terms.

  • No hidden costs
  • No insurance required
  • HSA/FSA eligible
“The testing process was truly seamless and almost half of what I pay out of pocket elsewhere.”
Stephanie H • Client

Both start with a lab test. The difference is what happens with your results.

  • Lab tests

    One-time answer, ordered on your own. Results delivered fast, provider-reviewed accuracy.

    Best if you know what you're checking for.

  • Journey

    Test plus an ongoing plan built around your results, with milestones like re-testing or a supplement plan.

    Best if you want a clear next step.

Journeys

  • Female Fertility Foundations Lab Panel

    A comprehensive blood panel designed to look beyond basic fertility testing by evaluating ovarian reserve, hormones, thyroid function, metabolic health, inflammation, and key nutrient markers that may influence conception and reproductive health.

    93 biomarkers

    Results interpreted by your provider
    2,000+ Quest blood draw locations
    Personalized wellness plan
    $471.58

    Female Fertility

    Learn moreBuy now
  • Perimenopause Insights Lab Panel

    A comprehensive blood panel evaluating hormones, thyroid function, metabolic health, inflammation, cardiovascular risk, iron status, and key nutrients to identify factors contributing to perimenopause symptoms and support personalized treatment.

    91 biomarkers

    Results interpreted by your provider
    2,000+ Quest blood draw locations
    Personalized wellness plan
    $385.63

    Perimenopause

  • Progesterone & Ovulation Assessment

    A separately timed progesterone test to assess whether ovulation likely occurred and provide insight into luteal-phase hormone production during fertility evaluation or perimenopause. Complete about 7 days after ovulation.

    2 biomarkers

    Results interpreted by your provider
    2,000+ Quest blood draw locations
    Personalized wellness plan
    $58.19

    Hormone

  • Male Fertility Assessment

    A comprehensive blood panel evaluating reproductive hormones, thyroid function, metabolic health, inflammation, and key nutrients that may influence testosterone production, sperm health, energy, and overall male fertility.

    87 biomarkers

    Results interpreted by your provider
    2,000+ Quest blood draw locations
    Personalized wellness plan
    $269.18

    Male Fertility

Lab tests

Hormone and Vaginal Testing

Hormone, adrenal, and vaginal microbiome testing to better understand fertility and hormone health.

  • DUTCH Cycle Mapping Plus (female only)

    Fluctuating levels of estradiol and progesterone can play a major role in a woman’s overall health, so understanding hormonal balance is key. The DUTCH Cycle Mapping™ PLUS is designed for cycling women who struggle with ongoing symptoms such as monthly migraines, fertility issues, or PCOS. The addition of the cortisol awakening response (CAR) provides practitioners with a fuller assessment of hormone fluctuations and baseline stress response and reflects a patient’s ability to cope with anticipated challenges. While for some women, testing reproductive hormones on a single day is sufficient – this test provides a more detailed clinical picture of the reproductive hormonal pattern that cannot be adequately captured without mapping the full cycle.

    46 biomarkers

    $654.50
    Learn moreBuy now
  • DUTCH Complete

    The DUTCH Complete™ offers an extensive dried urine profile of sex hormones and their metabolites, the overall diurnal pattern of free cortisol, and the total distribution of cortisol metabolites. Additionally, it includes Organic Acid Tests (OATs), providing practitioners with valuable insight into nutritional deficiencies, oxidative stress, gut dysbiosis, melatonin, and more. While the dried urine collection method makes collecting and shipping samples easier on your patients, this flagship panel provides you with a highly accurate assessment of hormonal health. This DUTCH Complete™ is an essential tool for optimizing treatment plans and addressing hormone-related symptoms such as fatigue, weight gain, hair loss, and mood swings.

    45 biomarkers

    $359.50
  • DUTCH Plus

    The DUTCH Plus® combines the flagship dried urine test with a saliva test to maximize the available information on sex and adrenal hormone production and metabolism. This extensive profile provides insights into the overall diurnal pattern of free cortisol and cortisone, the total distribution of cortisol metabolites, and the cortisol awakening response (CAR). Organic acid tests provide further insight into potential nutritional deficiencies, oxidative stress, gut dysbiosis, and more. The DUTCH Plus® is an essential tool for optimizing treatment plans and addressing hormone-related symptoms and conditions.

    47 biomarkers

    $459.50
  • Vaginal Health Test

    The Vaginal Health Test mess-free vaginal microbiome health test for women over 18. Shotgun metagenomics testing will give you strain-level resolution and accurate relative abundances. The report includes Vaginal CST identity.

    39 biomarkers

    $228.50
  • DUTCH Adrenals Only Panel

    This test monitors daily free cortisol and cortisone patterns along with measurements of associated metabolites and DHEAs. Utilizing a liquid chromatography–mass spectrometry collection method, this DUTCH Adrenal profile is one of the most accurate and easy-to-use tests for measuring adrenal hormones and metabolites.

    13 biomarkers

    $239.50
  • DUTCH Cycle Mapping (female only)

    Getting a clearer picture of a woman’s cycle can provide answers to important questions for patients with month-long symptoms, infertility, and PCOS. The DUTCH Cycle Mapping™ tracks the progesterone and estrogen patterns across the menstrual cycle – mapping 9 targeted hormone measurements throughout the cycle to characterize the follicular, ovulatory, and luteal phases. While for some women, testing reproductive hormones on a single day is sufficient – this test provides a more detailed clinical picture of the reproductive hormonal pattern that cannot be adequately captured without mapping the full cycle.

    5 biomarkers

    $454.50
Photo of Maria Santee PA-C, MPH, AFMC

Maria Santee PA-C, MPH, AFMC

I look beyond symptoms and standard lab ranges to understand the hormonal, metabolic, nutritional, inflammatory, and environmental factors that may be influencing fertility, perimenopause, and whole-body health. My approach combines comprehensive testing with personalized, practical recommendations so patients leave with a clearer understanding of their results and a meaningful path forward.

My website

Focus areas

  • Men's Health

  • Metabolic Health

  • Endocrine / Hormonal Health

  • Women's Health

  • Healthy Aging / Longevity

States of practice

  • California

FAQ

Find answers to your questions about our personalized wellness programs and services.