Legacy At-Home Semen Analysis Review — Who Should Try It & Who Should Skip It

Research shows the average sperm count has been on the decline for decades. One study on over 40,000 men found that the total sperm count of men in Western countries dropped by a whopping 59%1 from 1973 to 2011.

And while this certainly impacts male fertility, sperm health has implications beyond the ability to conceive. In fact, research shows higher sperm concentration is associated with lower mortality.

The good news? Experts say lifestyle adjustments such as stress management and dietary changes can improve your sperm health—but awareness is the first step.

Founded in 2018 at Harvard University by Khaled Kteily, Legacy is a male fertility company providing at-home testing kits and sperm-freezing services. The brand offers two semen analysis tests (the standard for $295 and the advanced for $570) and three cryogenic freezing packages ranging from $440 to $3,995.

What sets Legacy apart from other at-home semen analyses is that the brand provides insights into sperm motility and morphology, which are extremely important but not very commonly tested. It's also the only at-home sperm freezing service that includes a post-thaw analysis, which tells you if your sperm is viable for freezing.

Legacy's entire process is simple and straightforward. You'll start by ordering your kit, which involves a brief intake form outlining your health history and any concerns, as well as some additional paperwork to sign.

The test kit arrives with clearly outlined instructions. You'll first register your kit and then produce your sample. Just note: It must be shipped back the same day in a prepaid and labeled envelope provided by Legacy.

Your samples are then analyzed at FDA- and CLIA-certified labs, and your results are shared with you through your secure client dashboard (typically within one to two days). 

The coolest part, though, is the recommendations Legacy gives alongside your results. In other words: It's more than just numbers. You'll get personalized, science-backed recommendations for how to improve your fertility health.

You'll also have the option to book a virtual appointment ($150) with one of Legacy's male fertility specialists to discuss results and a potential course of action as needed. And if your results raise any concerns, you can download your full analysis summary report to share with your doctor.

Both the advanced and standard semen analysis tests also include a post-thaw analysis, in which Legacy freezes and thaws a portion of your sample to determine if it is a good candidate for sperm freezing. 

Legacy's at-home analyses and freezing services range from $295 to $3,995. See below for a full breakdown of the costs.

Legacy is a great option for people who are trying or planning to have a baby. But it's also a helpful tool for anyone who wants to learn more about their sperm health, which can impact other areas of your overall health.

The biggest potential deterrent of Legacy is the cost. However, the brand does work with insurance companies. Plus, proactive testing could help save you money down the road.