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 cryopreservation without a clinic collection-room visit
- Patients planning ahead of vasectomy, testosterone therapy, cancer treatment, gender-affirming care, or military deployment
- Buyers who will use published kit and storage prices, and check insurance or employer fertility benefits before paying cash
Weak fit
- Anyone shopping a donor sperm bank or anonymous donor catalog - Legacy freezes and stores a patient's own sample
- Patients who need in-person reproductive endocrinology or IVF as the primary care relationship
- Buyers looking for provider-side EHR, intake, or clinic SaaS
Bottom line
Legacy earns a Recommend as a direct-to-consumer male fertility service for at-home semen analysis, DNA fragmentation testing, and sperm freezing with multi-site cryostorage. Give Legacy, Inc. markets CLIA lab analysis and published kit and storage plans on givelegacy.com, which is clearer pricing than most enterprise healthcare software we score. Outcomes for patients are completed analysis and preservation access more than audited live-birth series from stored samples. The company is not a donor sperm bank. Public revenue estimates commonly sit near the high single millions, under our preferred $10-50M band, so this is a specialty DTC fill under the $500M hard cap. On our consumer-telehealth board, true sperm-bank peers are not scored yet; Found, Pepti, AgelessRx, Henry Meds, and Mochi Health are the nearest DTC neighbors we have.
Score breakdown
Weights: Outcomes 35% · Product 30% · Implementation 20% · Pricing clarity 15%.
Legacy (Give Legacy, Inc.) is a direct-to-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 cryopreserved and stored at multiple cryo sites. Telehealth consults sit alongside the lab path.
It is not a donor sperm bank and not provider clinic software. Compare Pepti, Found, AgelessRx, Henry Meds, or Mochi Health when the shop is broader DTC telehealth. True sperm-bank and clinic fertility peers are not on this board yet.
Score reflects published pricing and a clear at-home clinical fertility stack, tempered by revenue under our preferred mid-market band and outcomes evidence that centers on access and completed analyses. Large public live-birth datasets from stored samples are thinner in the open record.
Competitor landscape
| Vendor | Overall | Ease of use |
|---|---|---|
| Legacy | 7.7 | 7.8 |
| Pepti | 7.9 | 7.6 |
| Found | 7.4 | 7.2 |
| AgelessRx | 7.3 | 7.0 |
| Mochi Health | 7.0 | 6.6 |
| Henry Meds | 6.7 | 6.3 |
Pricing
| Item | Detail |
|---|---|
| Model | Published at-home kit and storage bundles (1-, 3-, 10-, and 25-year plans) plus renewable annual storage; cash-pay with insurance and employer fertility-benefit paths where available. |
| What usually drives cost | Plan length, number of samples and kits, whether STI and DNA-fragmentation testing are included, renewal storage after the prepaid term, and insurance or Progyny/Carrot/Maven-style benefits. |
| What to ask in diligence | All-in cost for the samples and years you actually need, what renews after the prepaid term, and whether your plan or employer benefit covers testing and freezing in your state. |
| Published pricing | Public list price: sperm freezing starts at $245 per sample per year on givelegacy.com; For Today bundle 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 live checkout totals. |
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, pre-procedure planning, or medical risk) | Vague shopping without a use case wastes kit and storage spend. |
| Ability to collect a sample at home and ship it on the kit schedule | Missed ship windows invalidate samples. |
| Comfort that Legacy freezes your own sperm and is not a donor sperm bank | Wrong product category creates wrong expectations. |
| Budget for the published kit and storage term you actually need | One-year and multi-year plans price differently; renewals matter after prepaid terms. |
| Willingness to review results on the dashboard and involve a clinician when trying to conceive or transferring samples | Lab numbers alone do not replace reproductive care. |
| What will maximize your value | |
| Match plan length and sample count to your timeline before checkout | Overbuying storage years or underbuying 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 change out-of-pocket cost. |
| Confirm what each bundle includes (STI testing, DNA fragmentation, kit count) | Entry plans omit advanced tests that longer bundles include. |
| Ship on the kit instructions and keep tracking until the lab receives the sample | Transit delays are the usual home-collection failure mode. |
| When you are ready to use frozen sperm, plan clinic transfer early with your fertility provider | Storage value appears when transfer logistics are already arranged. |
| Deal-breakers | |
| You need a donor sperm bank or anonymous donor catalog. | |
| You need in-person IVF or reproductive endocrinology as the primary care relationship. | |
| You cannot collect or ship a home sample on a fixed schedule. | |
| You are shopping provider EHR, intake, or clinic operations software. | |
| You will not read published plan contents and renewal storage terms before paying. | |
Value creation time frame
| # | Stage | Typical range |
|---|---|---|
| 1 | Order → kit arrives | Usually a few days for kit delivery |
| 2 | Collect → lab analysis results | Often within about a week from ship; Legacy markets checkout-to-lab in under a week |
| 3 | Freeze decision → long-term storage routine | Days after a viable sample; storage then runs on the prepaid or annual renewal term |
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 actually 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.