Frequently asked questions

Who is the Forever bundle best for?

Process & kit components

Cancer patients prior to treatment. Up to 75% of cancer patients may experience impair fertility as a result of cancer treatment. Sperm freezing and long-term storage is a safe and effective means to preserve your ability to have children in the future, allowing you to focus on what’s most important right now — your health.
Those who are planning a vasectomy. A vasectomy is a highly effective contraceptive option. But a small percentage of people who opt for a vasectomy will change their minds in the future, and decide they want (more) children. A vasectomy reversal is an expensive and complex surgery with no guarantee of recovered fertility. Sperm freezing before vasectomy is a less expensive, more reliable choice.
Those who are planning gender-affirming therapy or surgery. Estrogen or testosterone-blocking hormone therapy prevent sperm from being produced. In some cases, fertility can be recovered if you pause therapy for 6 months, but sperm production is halted permanently for about ⅓ of patients.
Freezing sperm now gives you options for having biological children when you’re ready, without having to stop your hormone therapy — and even if you’ve chosen bottom surgery.

What’s included in the Forever bundle?

Process & kit components

In the bundle:

3 semen analysis kits, to collect 3 samples for testing and freezing
1 DNA fragmentation analysis to evaluate sperm’s genetic health
1 STI testing kit
25 years of frozen sperm storage for 12 vials

In your reports:

Personalized client dashboard that includes more than just your results — it will give you context on what those results really mean for you and your family-building plans.
At-a-glance information about your frozen sperm, including how many vials are stored and where they’re located.
Evidence-based recommendations for improving your fertility health, based on your lifestyle and your personal results.
Exclusive access to book a virtual appointment with one of our male fertility specialist medical providers, to discuss your results and possible next steps.

Does Legacy offer military discounts?

Military & Veterans

Legacy is committed to supporting military families through discounts and special programs.

We’ve partnered with the Military Family Building Coalition to offer complementary sperm testing and freezing to Naval Special Warfare (Navy SEALs).
We’ve partnered with the Green Beret Foundation to offer complementary sperm testing and freezing to Army Special Forces (Green Berets).
We’ve partnered with the Operation Baby Foundation, a non-profit that funds fertility treatments for military families, to provide discounts for sperm testing and freezing.

Both active-duty military members and Veterans are eligible for discounts on our products through WeSalute (20% off) and ID.me (10% off).

How can Veterans access Legacy services?

Military & Veterans

Legacy services are covered by Veterans’ benefits. We are in-network with Optum VA Community Care Network and TriWest, which covers semen analysis and storage. You just need a referral from your healthcare provider.

Follow these 3 easy steps to get started:

Your provider sends a referral over to your community care network. Our NPI is 1366068454.
Your VA provider sends an authorization over to insurance@givelegacy.com. We’re listed as “Give Legacy,” located in New York.
We take care of the rest. When the results are ready, we send them directly to your provider.

Do supplementary fertility benefits providers cover sperm testing or freezing with Legacy?

Pricing & payment

Yes. Fertility benefits programs may provide fertility coverage traditional insurance plans don't. These plans may offer specific discounts or funds for fertility care such as diagnostic tests, infertility treatment, and fertility preservation (like sperm freezing). Major fertility benefits providers include Carrot, Progyny, Maven, and WINFertility. The best way to determine if you have fertility benefits is to contact your employer.

How to pay for sperm DNA fragmentation testing

Pricing & payment

Legacy is in-network with leading health insurance plans, fertility benefits providers, and the Department of Veterans Affairs. You may be able to test and freeze your sperm for up to 100% off, depending on your plan. Coverage is available through: Aetna, Cigna, Emblem, UnitedHealthcare, Optum VACCN, TriWest, Progyny, Carrot, Maven, and WIN Fertility.

Learn more about ways to save on sperm testing & freezing.

What does the Advanced Analysis with Sperm DNA Fragmentation Testing measure?

Sperm testing

An advanced analysis measures:

Semen volume
Sperm concentration
Motility
Total motile sperm count
Morphology
Sperm DNA fragmentation

Learn more about these parameters.

Who should do sperm DNA fragmentation testing?

Sperm testing

DNA fragmentation testing is recommended for anyone who:

May be doing fertility treatment, such as IUI or IVF
Is experiencing unexplained infertility
Has experienced pregnancy loss
Has risk factors for elevated DNA fragmentation, inlcuding:
- A history of chemotherapy or vasectomy/vasectomy reversal
- Lifestyle factors such as smoking or cannabis use
- Advanced paternal age (over 35)

Importantly, even those with normal results on a standard semen analysis can have elevated DNA fragmentation, which could impact a couple's ability to get or stay pregnant.

What does the Advanced Semen Analysis measure?

Sperm testing

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Will my fertility return if I stop taking estrogen or T-blockers?

Trying to conceive

Maybe. The “sperm cycle” — how long it takes to produce new sperm — is about 3 months, so you will likely have to pause hormone therapy for at least this long in order to recover fertility. One study found that within 6 months of stopping estrogen therapy, 67% of subjects regained a normal sperm count. That means about 1 of every 3 trans women may be unable to recover their fertility after beginning a medical transition.

Is Legacy’s team familiar with working with trans women and non-binary clients?

Gender transition

Absolutely yes. We have helped more than 2,000 transitioning people preserve their fertility. We work with clients at various stages in their gender transition every day. Our care team has been trained by Folx to provide an inclusive, affirming experience to every client, no matter what their fertility journey.

We partner with several trans healthcare providers, including Folx, Children’s Hospital of Philadelphia, and Anchor Health Connecticut, to provide fertility preservation directly to the trans community.

I already had a vasectomy. Is it too late to freeze my sperm?

Vasectomy & vasectomy reversal

Not necessarily. Some sperm still remains in the semen for a short time after a vasectomy.

If you’ve already had a vasectomy, we recommend getting a standard semen analysis with an annual freezing plan as soon as possible — after you’re cleared to ejaculate, typically around 1 week post-procedure. This test will assess if there are still viable, quality sperm in your semen. If there are not, we’ll refund the cost of your storage plan.

My vasectomy is happening really soon. Can I still use Legacy to freeze my sperm?

Vasectomy & vasectomy reversal

Probably! We want to help expedite the process. Contact us at clientservices@givelegacy.com.

How many vials of sperm should I freeze before my vasectomy?

Vasectomy & vasectomy reversal

Sperm freezing

Short answer: as many as you can afford. But the ideal number of samples to store also depends on your future plans. A few questions you might consider:

Do you have kids already? If you don’t, there may be a higher chance that you’ll want kids in the future, even if you’re sure you don’t want them right now. (Hence the vasectomy!)
How old are you? If you’re in your 20s or 30s, it’s more likely that your family plans may change in the future.

Generally speaking, one vial of sperm is used in each IUI or IVF procedure.

1 semen sample = 4 vials of frozen sperm
1 vial of frozen sperm = 1 IUI or IVF procedure

IUI pregnancy rates range from 10–25% per cycle; IVF success rates range from 5–50% per cycle. So, you may need multiple attempts to achieve pregnancy.

How effective is a vasectomy reversal?

Vasectomy & vasectomy reversal

Vasectomy reversal success rates vary widely, from about 30% to 90%, depending on several factors.

How long it’s been since your vasectomy: The longer it’s been, the less likely you are to regain fertility after a vasectomy reversal.
The type of procedure you had during your initial vasectomy, and the type of vasectomy reversal you’re pursuing.

The skill level of your surgeon: Vasectomy reversal is a complex microsurgery, and success rates are higher for experienced surgeons than for those who rarely perform vasectomy reversals.

How effective is a vasectomy?

Vasectomy & vasectomy reversal

A vasectomy is a highly effective permanent form of birth control. Vasectomy “failure” is defined as a case in which the vas deferens reconnect after the procedure, once again allowing sperm to enter the semen. Only about 1 or 2 in every 1,000 vasectomies fail, making it over 99% effective.

When should I test my semen after a vasectomy?

Vasectomy & vasectomy reversal

Follow your doctor’s instructions. Typically, the advice is to test your semen 8–12 weeks after your vasectomy.

You should aim to ejaculate frequently, starting one week following your procedure and stopping 2–5 days prior to your semen analysis. This will help you “clear out” the sperm from your testes. (Remember, your vasectomy isn’t considered effective until you’ve had a post-vasectomy semen analysis, so these ejaculations should be masturbation or sex with contraception.)

When should I freeze my sperm before a vasectomy?

Vasectomy & vasectomy reversal

Up to 1 in 10 people who have a vasectomy will eventually seek a reversal. The truth is that you may change your mind about having (more) kids in the future. Sperm freezing is a reliable back-up plan that’s significantly more affordable and less invasive than a vasectomy reversal later on.

We recommend ordering your sperm freezing kit(s) as soon as you schedule your vasectomy. This should give you time to freeze one or multiple samples prior to your appointment.

What’s the process of vasectomy?

Vasectomy & vasectomy reversal

Vasectomy is a procedure in which the vas deferens, the ducts that connect the testes to the urethra in the penis, are cut. This prevents sperm from entering your semen (ejaculate or “cum”) without affecting your sexual function or hormones.

What’s included with an at-home sperm testing kit?

Sperm testing

Poccess & kit components

The Legacy kit includes:

The Legacy “vault,” an insulated zippered container that maintains a stable temperature during transportation.
A sterile sample cup to easily collect your sample from home.

The sperm transport liquid — a vial of pink fluid — to keep your sample viable during shipping.
A security padlock to seal the vault + a strip of tamper-proof tape for extra security.
Free overnight shipping to send your sample to our lab for analysis.
Access to Legacy’s client dashboard, where you’ll be able to see your results, where your sample is frozen, and more.

Can I use Legacy if I’m under 18?

Process & kit components

Sperm testing

Sperm freezing

Yes, Legacy is an option for minors. Parent or guardian permission is required. Contact our client experience team at clientservices@givelegacy.com with the subject line “minor storage agreement.” We’ll reply with a document for the client and the parent/guardian to sign before sending a sample for freezing.

How long does it take to freeze sperm with Legacy?

Sperm freezing

The process of sperm freezing is very quick with Legacy:

Once you order your kit, it will arrive in as little as 2 days.
You should abstain from ejaculation for 2–5 days prior to producing your sample for freezing.
After producing your sample at home, it will be shipped overnight and analyzed and frozen the next day.

In theory, it can take as little as 3 days from start to finish. So, you don’t need to postpone your hormone therapy in order to accomplish your fertility preservation goals.

What are my chances of conceiving with frozen sperm?

Trying to conceive

Sperm freezing

The chances of conceiving with frozen sperm depend on several factors:

Your sperm quantity and quality
Your partner’s age, egg quantity/quality, and overall fertility health
Whether you use intrauterine insemination (IUI), in vitro fertilization (IVF), or intracytoplasmic sperm injection (ICSI)

IUI pregnancy rates range from 10–25% per cycle; IVF success rates range from 5–50% per cycle. So, you may need multiple attempts to achieve pregnancy. The good news is that using frozen sperm doesn’t affect your chances of success. IUI and IVF pregnancy rates are the same for those using frozen sperm, compared to “fresh.”

I may use a surrogate or gestational carrier to start a family in the future. Can I work with Legacy?

Trying to conceive

Sperm freezing

Process & kit components

If you would like to freeze your sample for use with a surrogate or gestational carrier, please reach out. There are strict FDA regulations that must be followed when banking your sperm for surrogacy, and we want to set you up for success.

How can I use my frozen sperm after I transition?

Gender transition

You can use your frozen sperm in an intrauterine insemination (IUI) or in vitro fertilization (IVF) procedure. Generally speaking, one vial of sperm is used in each IUI or IVF procedure.

1 semen sample = 4 vials of frozen sperm
1 vial of frozen sperm = 1 IUI or IVF procedure

Frequently asked questions

Don’t leave family to chance.