Legacy for
healthcare providers

Mail-in sperm testing and freezing makes fertility care easy and affordable for your patients.

In network with

ABOUT LEGACY

Complete sperm health support

Our comprehensive services help your patients test, improve, and preserve their fertility from home.

Testing from home
Fertility improvement
Fertility preservation
Other at-home testing & freezing options
Diagnostic-grade semen analysis
Clinically validated process
Average sample transit time
20 hours
28+ hours
Includes estimated initial motility
Morphology testing
Post-thaw motility testing
DNA fragmentation testing
Cryogenic storage
Multi-site storage
In-network with insurance and fertility benefits
= Standard & included
= Inconsistent
= Not included
OUR SCIENCE

The science of at-home sperm collection

Our kits use an FDA-approved, clinically tested HEPES-based sperm transport media to minimize the decline of sperm quality, plus an insulated kit to regulate sample temperature.

Because the best samples are collected in the comfort of home, mail-in semen analysis is an effective, accessible option for most patients.

Kit validation

Delayed analysis of semen parameters using the Legacy Kit can accurately predict early post-ejaculation values. Reverse prediction models demonstrate high predictive validity, as evidenced by strong correlation and agreement metrics.
Alexander et al. "Evaluating Semen Parameters for Predictive Correlations Between Fresh and Delayed Analysis Using an At-Home Semen Collection Kit." American Journal of Men's Health, 2025.
Shipment of semen samples using the Legacy Kit has no statistically significant impact on sperm concentration, morphology, or sperm DNA fragmentation as measured by the Halosperm sperm chromatin dispersion test.
Navarrete et al. "Validation of sperm chromatin dispersion (SCD) test using a mail-in at home semen collection kit." ASRM Scientific Congress, October 2022.

Cryostorage science

All samples are split between multiple cryogenic lab locations for an added layer of security.
CLIA-certified (CLIA ID Number: 31D2285605)
FDA-registered

What our analysis measures:

Semen volume

Sperm concentration

Motility, progressive motility & estimated initial motility*

Estimated initial motility is based on a model that factors in typical hourly motility decline of samples shipped in the Legacy kit, how long the sample was in transit, and the observed motility of the sample upon arrival to our lab.

*Unlike other providers, Legacy's predictive algorithm adjusts for non-linear decline in motility over time.

Post-thaw motility

To guide your clinical decisions when using frozen sperm samples

Morphology

WHO criteria

DNA fragmentation index

Sperm chromatin dispersion test (Halosperm)

See a sample report

Dedicated to furthering the fertility field

We conduct original research on sperm health, testing, and preservation — and provide funds to help other researchers make new discoveries.

See our team & board

Original research

Evaluating Semen Parameters for Predictive Correlations Between Fresh and Delayed Analysis Using an At-Home Semen Collection Kit
Geographic Differences in Semen Quality among a Cohort of American Men Using Mail-in Sperm Testing Kits
The Racial and Socioeconomic Characteristics of Men Using Mail-in Semen Testing Kits in the United States
Validation of sperm chromatin dispersion (SCD) test using a mail-in at home semen collection kit
Semen parameter variability among users of at-home sperm testing kits
Consent, Cryopreserved Sperm, and Posthumous Conception: Navigating the Ethical Maze

Legacy-funded research

Microplastics and male fertility with the American Society for Reproductive Medicine
Veteran fertility study with the US Department of Veterans Affairs
Occupational factors and markers of testicular function among men attending a fertility center with Harvard University

How it works

01
Patient orders their collection kit

The process is patient-driven, with no doctor's order or requisition required. The kit will be delivered directly to the patient so they can produce a sample at home and ship it to our full-service andrology lab.

Trans woman smiling while opening a Legacy collection kit
02
Patient's sample is analyzed

Our lab performs a diagnostic-grade semen analysis, assessing sperm concentration, motility, morphology, and DNA fragmentation.

Trans woman smiling while opening a Legacy collection kit
03
Patient's sample is frozen

The patient's sample is immediately frozen. We store samples in multiple highly secure cryostorage locations to mitigate any risk.

Trans woman smiling while opening a Legacy collection kit
04
Patient report

The patient will get their analysis and cryopreservation report in their digital dashboard, with a medical report to share with you. This includes estimated initial motility, based on their sample's time in transit, and post-thaw motility — so you have all the data you need to make clinical decisions.

Trans woman smiling while opening a Legacy collection kit
05
Using frozen sperm in the future

Sperm frozen with Legacy can be used for IUI or IVF. Patients can keep their samples in storage for as long as they need without affecting the sperm's health or viability.

Trans woman smiling while opening a Legacy collection kit

A clinically validated solution with a better patient experience

Accessible at-home testing and freezing options increase patient compliance — and get you the information you need to make decisions around treatment plans and sperm banking.

Up to 54% higher patient compliance with at-home semen collection

92% of patients prefer collecting samples at home

Results in 24–48 hours, avoiding treatment delays

~60% lower cost than traditional sperm banks, with many patients paying $0 out of pocket through insurance or employer benefits

Designed for every path to parenthood with an inclusive, diverse approach

JOIN THE LEGACY NETWORK

Start referring today

Any clinician can send a patient to our website to order a kit. But healthcare providers in the Legacy Network can get:

Exclusive pricing, so patients can save up to $750

Staff training webinars so your clinical staff is up-to-date on sperm testing & freezing protocols

Custom in-office educational materials for your patients

Support from our clinical team in interpreting patient results and guiding their care

Learn more about the Legacy Network: