Sperm testing & freezing for your gender-affirming care patients

Help transitioning patients preserve their family-building options

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.

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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.

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25,000+

analyses performed

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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.

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Step 5

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

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Step 6

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

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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.

Legacy + your patients

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

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No need to buy kits upfront — resources are complimentary for you

Perks for patients

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At-home sample collection is more comfortable and accessible

Freezing plans that are significantly more affordable

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Sperm frozen in 24–48 hours so there’s no delay in treatment

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An inclusive solution created for every path to parenthood

Affordability

Legacy is 10x more affordable than traditional sperm freezing options, with multiple ways to pay and save.

Insurance

United Healthcare logo
Cigna logo
Emblem Health logo
Aetna logo
TriWest American Alliance logo

Fertility benefits providers

Carrot logo
Progyny logo
Maven logo
Stork Club logo
Win Fertility logo
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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

At-home sample collection: where comfort meets science

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.

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A HEPES-based transport media minimizes motility decline during transit.

Samplaski et al, 2020

How Legacy furthers the field

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

Learn more about the Legacy Male Fertility Research Award offered in partnership with ASRM.

Legacy funded

Microplastics and male fertility

Research in progress

2023

Read

Legacy funded

Veteran fertility study with the US Department of Veterans Affairs

Research in progress

2023

Read

Legacy funded

Occupational factors and markers of testicular function among men attending a fertility center

Human reproduction

2023

Read

Legacy research

Geographic Differences in Semen Quality among a Cohort of American Men Using Mail-in Sperm Testing Kits

The World Journal of Men’s Health

2023

Read

Legacy funded

The Racial and Socioeconomic Characteristics of Men Using Mail-in Semen Testing Kits in the United States

Urology

2023

Read

Legacy research

Validation of sperm chromatin dispersion (SCD) test using a mail-in at home semen collection kit

ASRM Scientific Congress

2023

Read

Legacy research

Semen parameter variability among users of at-home sperm testing kits

BMC Urology

2022

Read

Legacy research

Consent, Cryopreserved Sperm, and Posthumous Conception: Navigating the Ethical Maze

Urology

2021

Read