Consumer telehealth · Male fertility
Legacy
Legacy (Give Legacy, Inc.) is a direct-to-consumer male fertility company for at-home semen analysis, DNA fragmentation testing, and sperm cryopreservation with multi-site storage. Patients order a kit, collect at home, and ship to CLIA labs. It is not a donor sperm bank and not provider clinic software.
Strong fit
- Men who want at-home semen analysis, DNA fragmentation testing, or sperm freezing without a clinic visit
- Patients planning ahead of a vasectomy, testosterone therapy, cancer treatment, gender-affirming care, or military deployment
- Buyers who will use the posted kit and storage prices, and check insurance or employer fertility benefits before paying cash
Weak fit
- Anyone looking for a donor sperm bank or anonymous donor catalog. Legacy freezes and stores a patient's own sample
- Patients whose main care needs to be in-person fertility specialist care or IVF
- Buyers looking for EHR, intake, or other software for clinics
Bottom line
Legacy is worth using for men who want at-home semen analysis, DNA fragmentation testing, or sperm freezing with clear published prices. It suits patients who value easy ordering and prepaid freeze plans. Those who want the most peer-reviewed validation may prefer Fellow, and anyone seeking donor sperm should look elsewhere.
Score breakdown
Weights: Outcomes 35% · Product 30% · Implementation 20% · Pricing clarity 15%.
Legacy (Give Legacy, Inc.) is a consumer male fertility company. Patients order a kit online, collect a sample at home, and ship it to CLIA labs for semen analysis and optional DNA fragmentation testing.
When freezing is the goal, samples are frozen and stored at several storage sites, and telehealth visits are offered alongside the lab work.
Kit and storage plans are posted on givelegacy.com, which makes pricing clearer than most healthcare software we review. It is not a donor sperm bank and not software for clinics.
For patients, what matters is getting a completed analysis and access to freezing. There are few large public studies of live births from stored samples.
Legacy scores well on easy ordering and on clear multi-year prepaid freezing bundles.
Among the consumer telehealth services we review, its closest peers are other U.S. mail-in male fertility testing and freezing services.
Fellow leads on peer-reviewed validation and a large network of partner clinics. Legacy is close behind on posted freezing bundles and ease of use at home.
CryoChoice and Sppare.me compete mainly on freezing and storage packages. We review fewer fertility services than weight loss and peptide telehealth services.
Competitor landscape
| Vendor | Overall | Ease of use |
|---|---|---|
| Fellow | 8.3 | 8.0 |
| Legacy | 8.2 | 8.3 |
| Posterity Health | 7.4 | 7.3 |
| CryoChoice | 7.2 | 6.5 |
| Path Fertility | 6.6 | 6.4 |
| Sppare.me | 6.6 | 7.3 |
Pricing
| Item | Detail |
|---|---|
| Model | Posted bundles of at-home kits and storage (1-, 3-, 10-, and 25-year plans), plus yearly storage you can renew. You pay cash, with insurance and employer fertility benefits where available. |
| What usually drives cost | Plan length, how many samples and kits, whether STI and DNA fragmentation testing are included, storage renewals after the prepaid term, and insurance or benefits like Progyny, Carrot, or Maven. |
| What to ask before you buy | The full cost for the samples and years you need, what renews after the prepaid term, and whether your plan or employer benefit covers testing and freezing in your state. |
| Published pricing | Sperm freezing starts at $245 per sample per year on givelegacy.com. Bundles: For Today about $540 (1 year, 1 sample); For Tomorrow about $1,495 (3 years, 2 samples); For The Future about $2,095 (10 years, 2 samples); Forever about $4,995 (25 years, 3 samples with advanced testing). Confirm the total at checkout. |
Legacy freezes a patient's own sperm. It is not a donor sperm bank. Confirm current bundle contents and lab partners before checkout.
Prerequisites for purchase
| Need | Why it matters |
|---|---|
| What you need to get Legacy to function | |
| A clear reason to test or freeze (trying to conceive, planning before a procedure, or a medical risk) | Buying without a clear reason wastes money on kits and storage. |
| Ability to collect a sample at home and ship it on the kit schedule | Missing the shipping window ruins samples. |
| Comfort that Legacy freezes your own sperm and is not a donor sperm bank | Mixing up the two leads to the wrong expectations. |
| A budget for the posted kit and storage term you need | One-year and multi-year plans are priced differently, and renewals add up after the prepaid term. |
| A willingness to review results on the dashboard and involve a clinician when trying to conceive or moving samples | Lab numbers alone do not replace fertility care. |
| What will maximize your value | |
| Pick a plan length and number of samples that fit your timeline before checkout | Buying too many storage years or too few samples both waste money. |
| Ask whether insurance or employer fertility benefits cover testing and freezing in your state | Progyny, Carrot, Maven, and major medical plans can lower what you pay. |
| Confirm what each bundle includes (STI testing, DNA fragmentation, number of kits) | Starter plans leave out advanced tests that longer bundles include. |
| Ship as the kit instructs and track it until the lab gets the sample | Shipping delays are the most common reason home collection fails. |
| When you are ready to use frozen sperm, plan the move to a clinic early with your fertility provider | Storage pays off when the move to a clinic is arranged ahead of time. |
| Deal-breakers | |
| You need a donor sperm bank or anonymous donors. | |
| Your main care needs to be in-person IVF or fertility specialist care. | |
| You cannot collect or ship a home sample on a fixed schedule. | |
| You are looking for EHR, intake, or clinic operations software. | |
| You will not read what each plan includes and the storage renewal terms before paying. | |
Value creation time frame
| # | Stage | Typical range |
|---|---|---|
| 1 | From order to kit arrival | Usually a few days |
| 2 | From collection to lab results | Often about a week after shipping. Legacy says it takes under a week from checkout to lab |
| 3 | From freezing to long-term storage | Days after a usable sample. Storage then runs on the prepaid term or yearly renewals |
Leadership
Methodology
| Weight | Factor | What it measures |
|---|---|---|
| 35% | Customer outcomes | Whether buyers get measurable operational or clinical-workflow results after go-live |
| 30% | Product | Capability depth, reliability, and fit for the job the category buys |
| 20% | Implementation | How hard it is to stand up, integrate, train, and stabilize |
| 15% | Pricing clarity | Whether a buyer can model total cost without a mystery quote |
| Label | Meaning |
|---|---|
| Highly recommend | Strong outcomes and product with manageable caveats |
| Recommend | Solid fit for the right buyer; know the tradeoffs |
| Conditional | Only with a specific use case or heavy caveats |
| Not recommended | Avoid for most buyers in this category |
Read our full methodology for how we weight scores and assign recommend labels.