Sperm testing & freezing for your gender-affirming care patients
Legacy’s mail-in kit makes fertility preservation comfortable and affordable.
Sperm testing starts at $295 while freezing starts at just $145 per year.
Sperm freezing
Protect your patients’ ability to have a family if and when they choose.
Cryostorage plans
We offer sperm storage plans from 1 year to 25 years for maximum flexibility and value for your patients.

Semen analysis
Understand how hormone therapy has affect your patient’s fertility, and whether freezing is an option. Patient can freeze sample if it’s viable.

STI testing
This screening ensures your patient can use their frozen sperm sample in the future.
Multi-site storage
All samples are split between multiple cryogenic lab locations for an added layer of security.
Sample anonymity
Your patient is just a number — in a good way. All samples have a client ID to keep patients anonymous. We will never share information about why a patient has frozen their sample or who has referred them.
Checks all the boxes
Legacy is CLIA-certified, FDA-registered, and HIPAA-compliant.
Legacy proudly tests and freezes more sperm than any clinic in the country.

25,000+
analyses performed

18,000+
sperm samples frozen

Step 1
Your patient orders their kit online. They’ll choose a bundle of testing and/or freezing, pick their preferred delivery date, and set up free shipping directly to their home.

Step 2
They follow simple instructions to collect their semen sample from home and ship to our lab overnight.

Step 3
Our lab assesses semen volume, sperm concentration, motility, morphology, DNA fragmentation index, and post-thaw motility.

Step 4
We’ll split the sample into 4 vials. For long-term storage, they’ll be shipped to two separate cryogenic facilities, an extra step we take to mitigate risk.

Step 5
Your patient’s semen analysis results can be released directly to your practice and uploaded easily to their chart.

Step 6
The patient will have access to an in-depth results dashboard that empowers them to understand what their numbers really mean.

Step 7
If you’re not able to discuss your patients’ results, they can schedule a virtual consultation with a Legacy urologist or andrology nurse.
Accessible at-home testing and freezing options increase patient compliance — and gets you the information you need to make decisions around treatment plans and sperm banking.
Perks for clinicians
We make it easy to meet WPATH/USPATH Standards of Care
Staff training webinars
In-office educational materials for your patients
No need to buy kits upfront — resources are complimentary for you
Perks for patients
At-home sample collection is more comfortable and accessible
Freezing plans that are significantly more affordable
Sperm frozen in 24–48 hours so there’s no delay in treatment
An inclusive solution created for every path to parenthood
Legacy is 10x more affordable than traditional sperm freezing options, with multiple ways to pay and save.
Insurance
Fertility benefits providers

Example products & pricing
Standard

Annual storage
1 sample
$440
Your patients could save up to $100
Most popular

5-year storage
2 samples
$1,195
Your patients could save up to $250
Best value

25-year storage
3 samples
$3,995
Your patients could save up to $800
Our kits use an FDA-approved, clinically tested transport buffer media to minimize the decline of sperm quality, plus an insulated kit to regulate sample temperature.
At-home sample collection offers an added level of comfort for patient populations that experience medical discrimination and dysphoria.
Semen quality has been found to be significantly higher when the sample is collected at home (vs. in a clinic or sperm bank collection room).
Sample collected
at home
Sample collected
in the clinic
Sperm concentration
64
million/mL
41
million/mL
Progressive motility
52%
40%
Wang et al, 2014 | See also Stimpfel et al, 2021; Elzanaty et al, 2008
Studies on mail-in analysis kits suggest motility may decline just 0.39% per hour.

A HEPES-based transport media minimizes motility decline during transit.
Samplaski et al, 2020
We conduct original research on sperm health, testing, and preservation — and provide funds to help other researchers make new discoveries.