STI TESTING

Get peace of mind with at-home STI testing

STI testing for men and people with penises

Test for 6 sexually transmitted infections from the privacy of home. Protect your sexual and fertility health, get prepared for fertility treatments or trying to conceive, and prevent the spread of infection to others.

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At-home testing for 6 STIs

For men and other people with penises, STIs are more likely to have no symptoms at all. That means you may not know you have one — unless you test.

Learn more about freezing

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01

Chlamydia

02

Gonorrhea

03

Hepatitis B

04

Hepatitis C (antibodies)

05

HIV 1 and 2

05

Syphilis

Chlamydia is a common STI caused by bacteria. Some people with chlamydia will experience pain in their genitals or discharge, but many will have no symptoms.

Chlamydia is easily treated with antibiotics. If chlamydia is left untreated, it could affect a person’s fertility or spread to a partner.

Gonorrhea is a common STI caused by bacteria. Some people with gonorrhea will experience pain while urinating or discharge, but many will have no symptoms.

Gonorrhea is easily treated with antibiotics. If gonorrhea is left untreated, it could affect a person’s fertility or spread to a partner.

Hepatitis B is a virus that can spread via sex, and can cause liver infection and inflammation. Some people with hep B will have abdominal pain, fever, or fatigue, but many will have no symptoms.

Hepatitis B can’t be cured with antibiotics, but about 95% of people infected with the virus will recover on their own in 4–8 weeks. In rare cases, people can become hep B “carriers,” with long-term contagious infections.

Sperm concentration is the number of sperm per milliliter of semen. This number helps us compare your sample to others.

A hepatitis C antibody test will tell you if you’ve ever had a hep C infection. If you test positive, you’ll need an additional test to measure the amount of hepatitis C virus in your blood. Hepatitis C can typically be treated with antiviral medications. If hep C is left untreated, it can cause damage to the liver or spread to other people.

HIV (human immunodeficiency virus) is a virus that can spread via sex. Some people with HIV will have temporary flu-like symptoms, while others will have no symptoms.

HIV affects the immune system and can reduce a person’s ability to fight off infections. HIV can’t be cured with antibiotics, but antiviral medication can reduce symptoms and the chance of spreading HIV. If HIV is left untreated, it could develop into AIDS, a disease of the immune system.

Syphilis is a common STI caused by bacteria. Some people with syphilis will experience genital sores, but some will have no symptoms.

Syphilis is easily treated with antibiotics. If syphilis is left untreated, it could affect a person’s fertility, spread to a partner, or have wide-ranging impacts on the body and brain.

HOW MANY OF YOUR SPERM ARE THE PROPER SIZE AND SHAPE

A sperm’s structure affects its ability to reach and fertilize an egg. Morphology is the percentage of sperm that are normally shaped; abnormalities may indicate poor sperm development or genetic issues. Fun fact: most sperm are abnormally shaped. Morphology as low as 4–14% is totally normal.

Why use Legacy for at-home STI testing?

1

Discreet

Get your kit, collect your samples, and get your results in the privacy of home.

2

Affordable

Test for 6 common STIs for just $150. STI testing costs around $350 at a traditional lab or clinic.

3

Logical

We automatically include STI testing with long-term sperm storage packages (For Tomorrow & Forever), so you can be sure that you can use your frozen sample at any clinic in the future.

We’re the only at-home sperm testing and freezing service that offers at-home STI testing and sperm DNA fragmentation analysis.

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STI testing protects your health — and your partners’

If you don’t detect and treat them quickly, STIs and STDs can have harmful effects on your fertility, your sexual health, and your whole body. Plus, STIs can spread to sexual partners, even if you don’t have any symptoms.

You’re planning fertility treatment such as IVF or IUI

You’re considering or planning to freeze your sperm

You’ve had unprotected sex with a new person

A previous partner tells you they have an STI

You have symptoms such as pain in your genitals or pelvic, pain while urinating, sores, or discharge

If you plan to or may freeze your sperm, we strongly advise STI screening in the 6 months prior to sending in your sample.

While this is not mandatory for cryogenic storage with Legacy, it is required by many fertility clinics, with different regulations in different states. STI screening prior to sperm freezing ensures that your sample can be used at any fertility center or medical practice in the future.

Our at-home STI test kit is included with For Tomorrow and Forever packages. If you are purchasing a Standard Semen Analysis kit with yearly or 5-year cryogenic storage, we recommend ordering an at-home STI test kit as well.

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How it works

1

Urine sample

Used to detect gonorrhea and chlamydia

2

“Finger prick” blood sample

Used to detect hepatitis B and C, HIV, and syphilis

Receive your kit at home in as little as 2 days.

Follow the simple instructions to collect your urine sample and a few drops of blood via a finger prick.

Mail your kit back to us with pre-paid shipping.

Get easy-to-understand results and next steps within 7 days.

Learn more about the kit

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Products that include STI testing:

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At-home testing for 6 STIs

STI Test Kit

$150

Test for 6 sexually transmitted infections.

If you’re considering or planning to freeze your sperm

If you’re planning or trying to conceive

To protect yourself and current/future partners

2 semen analyses, 1 STI Test Kit, 5-year cryostorage

For Tomorrow

$1,195

Protect your fertility on your timeline.

If you’re considering sperm freezing

If you’re undergoing fertility treatments

For military members before deployment

3 semen analyses, 1 DNA fragmentation analysis, 1 STI Test Kit, lifetime cryostorage

Forever

$3,995

Secure your options to pass on your legacy.

If you’re considering hormone replacement therapy

If you’re receiving cancer treatment

If you’re considering a vasectomy

1 semen analysis

For Today

$295

Test the five key metrics of sperm health.

If you’re trying to conceive

If you want to understand your fertility

For semen testing after a vasectomy

Financing Insurance FSA
Cryostorage for tomorrow

2 semen analyses, 1 STI Test Kit, 5-year cryostorage

For Tomorrow

$1,195

Protect your fertility on your timeline.

If you’re considering sperm freezing

If you’re undergoing fertility treatments

For military members before deployment

Financing

3 semen analyses, 1 DNA fragmentation analysis, 1 STI Test Kit, lifetime cryostorage

Forever

$3,995

Secure your options to pass on your legacy.

If you’re considering hormone replacement therapy

If you’re receiving cancer treatment

If you’re considering a vasectomy

Financing

Frequently asked questions

An STI is any infection that can spread via sex. (Some STIs can also be spread in other ways.)

A sexually transmitted infection (STI) is the presence of any bacteria, virus, or other pathogen that can be spread via sex. A sexually transmitted disease (STD) refers to the illness, or symptoms, caused by the infection.

In many cases, an STI may not have any symptoms. However, an infection without symptoms can still spread to others, or cause more damage inside your body.

This test screens for the presence of STIs, even if you don’t have any symptoms.

STI testing is a screening that uses samples of urine, blood, or other body tissues to look for indicators that a person might have a sexually transmitted infection.

STI tests look for genetic material from specific bacteria or viruses, or for the presence of specific antibodies — immune cells that show your body is reacting to a particular infection.

This test kit can detect the pathogens or antibodies associated with:

Chlamydia

Gonorrhea

Hepatitis B

Hepatitis C

HIV 1 and 2

Syphilis

No. You can order an STI Test Kit or a sperm freezing bundle without a prescription from a doctor.

The CDC recommends testing every 3–12 months, depending on your risk factors. You should consider STI testing:

After you’ve had unprotected sex with a new person, or before having unprotected sex with a new person

If a previous partner tells you they have an STI

If you have symptoms such as pain in your genitals or pelvic, pain while urinating, sores, or discharge

If you’re planning fertility treatment such as IVF or IUI

If you’re considering or planning to freeze your sperm

In a traditional clinic or lab, STI testing involves:

A urine sample

A blood draw

Possibly a swab of your genitals or rectum

Legacy’s at-home STI Testing kit requires:

A urine sample

A few drops of blood, obtained via a finger prick

Contents include:

For urine collection

A collapsible urine collection cup

A pipette

A urine collection tube (preservative liquid included)

A large specimen bag

For blood collection

A blood collection card

Two alcohol pads

A sterile gauze pad

Single use lancets

Two adhesive bandages

A small specimen bag with desiccant pack

Legacy’s STI Test Kit is shipped using USPS First Class Mail. It will arrive 1–3 business days after you place your order.

After you complete your tests, you’ll mail your samples back to our lab. This shipping will take approximately 1–3 business days. Then, your results will be available in your client dashboard 3–5 business days after our lab receives the samples.

Overall, the testing process takes about 1 week.

This is a male STI testing kit, intended for use by people with penises. STI testing for people with vaginas involves different testing methods, and this kit will not return accurate results.

Legacy’s at-home STI test kit is not covered by insurance. However, it costs just $150.

Legacy’s at-home STI testing kit is not currently eligible for coverage or reimbursement from an FSA or HSA.

A positive result means that a specific bacteria, virus, or antibody was detected in your urine or blood samples. This indicates that you may have a current or prior infection, but it’s not a confirmed diagnosis.

You’ll receive next steps as part of the results for your at-home STI testing kit. If you’ve received a positive result(s), we strongly recommend contacting your doctor as soon as possible to diagnose and treat any infections. We also recommend contacting any recent sexual partners to let them know they should be tested.

Depending on your state and local protocols and your results, the lab may be required to confidentially report your positive results to the Department of Health.

Yes. Legacy’s at-home STI screening kit is tested in a CLIA-certified laboratory. Every test performed as part of this kit is nearly 100% specific and sensitive, meaning it has a very low chance of producing false positives or negatives.

At-home STI testing is available in every US state.

STI testing is not required by Legacy. However, STI screening prior to freezing sperm is required by many fertility clinics. To ensure that your sample can be used at any fertility center or medical practice in the future, we strongly advise STI screening in the 6 months prior to freezing a sample.

Our at-home STI test kit is included with For Tomorrow and Forever packages. If you are purchasing a For Today kit with monthly, yearly, or 5-year cryogenic storage, we recommend ordering an at-home STI kit as well.

If you’re doing an STI screening before you freeze a sperm sample, we recommend doing STI screening before or at the same time as your sperm analysis kit.

If you’re doing STI testing simply to screen for possible infection, you can do it at any time.

Not necessarily. Your STI results are valid for 12 months. If you’re freezing a sample and it’s been more than a year since you got your STI results, you should consider doing an updated STI test.

In 49 of 50 states, the STI screening required by most fertility clinics is identical to the panel we offer: chlamydia, gonorrhea, hepatitis B and C, HIV 1 & 2, and syphilis.

In California, fertility clinics may also require screening for HTLV (human T-lymphotropic virus). Unfortunately, there is currently no at-home testing option for this virus. If you may freeze or use your sperm sample in California, we recommend talking to your doctor about in-person HTLV testing.

Yes. Depending on your results, your samples may be “quarantined,” or stored separately from others’, to prevent any cross-contamination (though cross-contamination is extremely unlikely).

However, we cannot guarantee that your chosen fertility clinic will allow you to store or use STI-positive semen samples in the future. We recommend discussing this with your fertility clinic.

No, there is no additional cost for storing a sperm sample from an STI-positive person.

Yes, depending on your clinic’s regulations. Depending on your results, your samples may be “quarantined,” or stored separately from others’, to prevent any cross-contamination (though cross-contamination is extremely unlikely).

When used in IUI or IVF, sperm is typically “washed,” or separated from the semen. The semen is what carries infection, not the sperm itself. The process of sperm washing is very effective at removing pathogens from sperm samples.

However, there is always the small possibility that someone who is inseminated with an STI-positive sample could contract an STI. Therefore, you should consult your doctor about the necessary consent forms or other paperwork required to use your sample.

These results are for your review only, and should not be considered a diagnosis. If you have questions about your results, please speak to your doctor.

No. Because we’re a digital clinic, we can’t diagnose you with an illness or prescribe treatment. However, we will offer guidance on next steps with your results.

Your personal doctor or a clinic should be able to provide you with the proper medication or other treatment for any infections.

Any questions about how our products work?

Talk to a fertility advisor