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Legacy

Full company profile

uuid000057q

Namestring
Legacy
Legal namestring
Give Legacy, Inc.
Websiteurl
givelegacy.com
Company typeenum
Private
Founded yearint
2019
Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
11–50
akta.pro rankint
HeadquartersNew York, United States
HQ citystring
New York
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Offices2 records

Each record includes

City, Country, Type, Description, Source

Keyword5 values
male fertility testing, sperm cryopreservation, at-home diagnostics, reproductive health services, fertility preservation
Industry3 codes
1Reproductive Endocrinology & Infertility (IVF/Fertility)
CodeHLAKAJACPrimaryYes
2Fertility & Reproductive Endocrinology Telehealth (IVF/IUI, infertility evaluation)
CodeHLALAHAAPrimaryNo
3Prenatal, Newborn & Reproductive Diagnostics (NIPT, IVF/PGT, newborn screening)
CodeHLAAALAJPrimaryNo
NAICS code1 code
  • Family Planning Centers621410
SIC code1 code
  • In Vitro & In Vivo Diagnostic Substances2835
Product category
Male fertility services
Social media profiles3 records
GTM motion4 records

Each record includes

Type, Description, Source

Revenue model7 records
1Semen analysis kits (one-time purchase)
TypeOne Time License
Description

Direct-to-consumer sales of mail-in semen analysis kits at tiered price points: Basic ($145), Standard ($295), and Advanced with DNA fragmentation testing ($495). Customers can purchase directly via e-commerce or through insurance/benefits coverage, often at $0 out-of-pocket.

givelegacy.com
2Annual sperm cryostorage subscriptions
TypeSubscription Recurring
Description

Recurring annual storage plans bundled with semen analysis and collection kits. For Today bundle ($486/yr, $245 per sample per year), For Tomorrow ($1,495/3yr), For The Future ($2,095/10yr), and Forever ($3,496.50/25yr, 12 vials across 3 samples). Renewable annual contracts create predictable recurring revenue.

givelegacy.com
3Male fertility supplement sales
TypeOne Time License
Description

Direct e-commerce sales of Legacy's science-backed Male Fertility Supplement (10 active ingredients, 3-month supply) priced at $195. Final sale, HSA/FSA eligible with letter of medical necessity.

givelegacy.com
4Insurance and benefits reimbursements
TypeManaged Services
Description

Revenue from in-network coverage with major health plans (Aetna, Cigna, Emblem, UnitedHealthcare), fertility benefits providers (Progyny, Carrot, Maven, WIN Fertility, Stork Club, Kindbody), and VA/military channels (Optum VA Community Care Network, TriWest, TRICARE West), often delivering $0 out-of-pocket patient pricing.

givelegacy.com
5B2B clinic and healthcare provider partnerships
TypeManaged Services
Description

Revenue from the Legacy Network of over 400 fertility and urology clinics across the United States, including post-vasectomy preservation/testing solutions for vasectomy clinics serving over 50,000 patients. Includes exclusive clinic pricing, staff training, and patient education.

prnewswire.com
6Marketplace distribution
TypeMarketplace Commission
Description

Featured partner placement on the Carrot Collective marketplace (clinically vetted products for fertility and hormonal health), plus WeSalute and ID.me military marketplaces, driving incremental traffic and acquisition.

femtechinsider.com
7Financing and consumer payment plans
TypeSubscription Recurring
Description

Affirm-based monthly financing plans offered on kits and bundles (e.g., $25/mo for Standard Analysis, $42/mo for For Tomorrow, $97/mo for Forever), enabling access to higher-priced bundles via pay-over-time options.

prnewswire.com
Marketing channels10 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels7 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components6 values
Personnel, Operations, Marketing or Sales, Technology or R&D, Supply Chain, Infrastructure
Pricing details10 tiers
1Basic Semen Analysis
ModelOne time/ perpetual licenseBilling cadencePay-as-you-go
Notes

$145; includes semen volume, sperm count & concentration, motility. Not eligible for discounts, insurance, or payment plans.

givelegacy.com
2Standard Semen Analysis
ModelOne time/ perpetual licenseBilling cadencePay-as-you-go
Notes

$295 sale price (also seen at $206.50 with promotion); financing as low as $25/month via Affirm. Includes volume, concentration & count, morphology, and lifetime access to the Insights dashboard with Sperm Score.

givelegacy.com
3Advanced Semen Analysis with DNA Fragmentation
ModelOne time/ perpetual licenseBilling cadencePay-as-you-go
Notes

$495 sale price; financing as low as $48/month via Affirm. Includes semen volume, sperm DNA fragmentation.

givelegacy.com
4For Today bundle (1 year)
ModelSubscriptionBilling cadenceAnnual
Notes

$540 list, sale price $486; $245 per sample, per year for annual storage. Renewable. Includes 1 collection kit and pre-freeze STI kit.

givelegacy.com
5For Tomorrow bundle (3 years)
ModelSubscriptionBilling cadenceMulti-year contract
Notes

$1,495 sale price; ~$125 per sample, per year; $42/month via Affirm. 3 years of storage (renewable), 2 collection kits, pre-freeze STI test.

givelegacy.com
6For The Future bundle (10 years)
ModelSubscriptionBilling cadenceMulti-year contract
Notes

$2,095 sale price; ~$67 per sample, per year; $64/month via Affirm. 10 years of storage (renewable), 2 collection kits, 10 samples.

givelegacy.com
7Forever bundle (25 years)
ModelSubscriptionBilling cadenceMulti-year contract
Notes

$4,995 list, $3,496.50 with FOREVER30 promo (30% off); ~$35 per sample, per year; $97/month via Affirm. 25 years of storage, 3 collection kits (12 vials), Advanced Semen Analysis with DNA fragmentation, STI testing, lifetime multi-location storage.

givelegacy.com
8Male Fertility Supplement
ModelOne time/ perpetual licenseBilling cadencePay-as-you-go
Notes

$195 sale price for a three-month supply (60 capsules, 2 per day); HSA/FSA eligible with letter of medical necessity; final sale.

givelegacy.com
9ProteX™ Semen Collection Cup
ModelUnit PricingBilling cadencePay-as-you-go
Notes

$99.95 standalone price; included at no extra cost in Legacy's semen analysis and cryopreservation kits.

prnewswire.com
10Post-Vasectomy Semen Analysis
ModelOne time/ perpetual licenseBilling cadencePay-as-you-go
Notes

$145 sale price; includes motility (if sperm are present) and manual verification of azoospermia.

givelegacy.com
GTM typeB2C
B2C
Offering typeServices
Services
Brand1 of 2 records shown
1Sperm Insights
Description

A first-of-its-kind data platform that transforms clinical semen analysis data into personalized, longitudinal health insights with a proprietary Sperm Score metric.

givelegacy.com
+1 more record
Core offering1 text field

Legacy (Give Legacy, Inc.) operates a direct-to-consumer digital male fertility clinic that delivers clinic-grade sperm testing and long-term cryopreservation through a mail-in workflow. Customers order at-home semen analysis kits and sperm freezing bundles, collect samples privately, and ship them overnight to Legacy's CLIA-certified and CLEP-approved andrology lab for diagnostic analysis and multi-geographic cryogenic storage. The company also offers a Male Fertility Supplement, a pre-freeze STI test, a post-vasectomy analysis kit, and a proprietary Sperm Insights longitudinal data platform.

Differentiator
Functional benefit
Problem solved
Quantifiable outcome1 of 11 values shown
  • Up to 54% higher patient compliance with at-home semen collection vs. traditional clinics
+10 more records
Product overview1 text field

Legacy (Give Legacy, Inc.) operates a unified digital male fertility platform combining at-home sperm testing, long-term cryopreservation, and clinical-grade analysis in a single mail-in workflow. The core product line is the at-home semen analysis kit, offered in three tiers: the Basic Semen Analysis ($145), Standard Semen Analysis with morphology and Sperm Insights dashboard ($295), and Advanced Semen Analysis with DNA Fragmentation Testing ($495). Customers can layer these tests with one of four cryopreservation bundles — For Today (1 year), For Tomorrow (3 years), For The Future (10 years), and Forever (25 years, 12 vials). Adjacent offerings include the Male Fertility Supplement, an STI Testing kit, and a Post-Vasectomy Semen Analysis. The recently launched Sperm Insights data platform turns analysis results into longitudinal health tracking via a proprietary Sperm Score, while the ProteX Semen Collection Cup (developed with Reproductive Solutions) is integrated into all kits. The underlying clinical service is delivered through Legacy's CLIA-certified, CLEP-approved andrology lab, supported by the Legacy Network of 400+ partner clinics.

Product and service8 records
1At-Home Semen Analysis Kit
CategoryAt-home semen analysis
Description

Mail-in, clinic-grade at-home semen analysis kit offered in three tiers — Basic ($145, volume, count, concentration, motility), Standard ($295, plus morphology and lifetime Sperm Insights dashboard), and Advanced ($495, plus Halosperm DNA fragmentation testing). Designed for men trying to conceive, planning IUI/IVF, screening donors, or proactively assessing sperm health; processed in Legacy's CLIA-certified and CLEP-approved andrology lab.

2Sperm Cryopreservation Bundle
CategorySperm cryopreservation and storage
Description

Mail-in sperm freezing and cryogenic storage bundles, with annual renewable contracts at $245 per sample per year. Options include For Today (1 year, 1 sample), For Tomorrow (3 years, 2 samples), For The Future (10 years, 2 samples), and Forever (25 years, 12 vials across 3 samples with Advanced Semen Analysis, STI testing, and lifetime multi-location storage). Samples are split across multiple cryogenic facilities using liquid nitrogen vapor slow-freeze at -196°C; for pre-vasectomy, pre-deployment, pre-TRT, pre-gender-affirming care, and oncology preservation.

3Post-Vasectomy Semen Analysis
CategoryPost-procedure diagnostic testing
Description

Mail-in post-vasectomy semen analysis ($145) measuring sperm concentration with manual verification of azoospermia, conformant with AUA guidelines. Designed to increase compliance with post-vasectomy testing and is sold direct-to-consumer and through the Legacy Network of urology and vasectomy clinics.

4Male Fertility Supplement
5Pre-Freeze STI Test Kit
6Sperm Insights Data Platform
CategoryLongitudinal health data platform
Description

Proprietary data platform that converts clinical semen analysis results into personalized longitudinal health tracking, featuring a proprietary Sperm Score metric, age-based benchmarking, trend monitoring, and connections between sperm health and broader wellness. Lifetime access is bundled with the Standard and Advanced Semen Analysis kits. Positions Legacy alongside consumer health platforms such as Function Health, WHOOP, and Oura.

7ProteX Semen Collection Cup
CategorySample collection hardware
Description

Trademarked ProteX™ Semen Collection Cup co-developed with Reproductive Solutions; supports sample integrity for up to 24 hours, minimizes environmental exposure, and reduces leakage during transport. Priced at $99.95 standalone or included at no extra cost in Legacy's semen analysis and cryopreservation kits; delivers ~30% faster transit and 11% greater motility retention versus competing at-home options.

8Virtual Fertility Consultation
Scale indicator15 records

Each record includes

Type, Value, Description, Source

Partnership20 partners
Strategic tierFlagship — Co-Developed Product Included Across Legacy'S Kit Line.TypeStrategic or Co-development Partner
Description

Co-developed the ProteX™ Semen Collection Cup, launched in May 2026. The cup maintains sample integrity for up to 24 hours, minimizes environmental exposure, and reduces leakage during transport. It is priced at $99.95 standalone and included at no extra cost in Legacy's semen analysis and cryopreservation kits, with 30% faster transit times and 11% greater motility retention versus competitors.

Strategic tierStrategic Research Collaboration Partner For The $1M Sperm Study.TypeStrategic or Co-development Partner
Description

Collaborating with Legacy on the $1 million 'Sperm Study' (launched May 2026) — a multi-phase clinical research initiative enrolling up to 250 participants to evaluate at-home semen collection for IVF and IUI, assessing motility, DNA fragmentation, and post-thaw viability under real-world shipping conditions. Findings are expected to inform improved specimen collection protocols, shipping standards, and clinical decision-making.

Strategic tierCore Distribution — Major In-Network Health Insurance Plans Enabling $0 Out-Of-Pocket Access.TypeChannel Partner/ Reseller/ Distributor
Description

In-network coverage with leading U.S. health insurance plans: Aetna, Cigna, Emblem, and UnitedHealthcare (state-dependent). Coverage applies to sperm testing and freezing, allowing many patients to pay $0 out-of-pocket depending on plan.

Strategic tierCore Distribution — Employer Fertility Benefits Providers Enabling $0 Out-Of-Pocket Access And Employee Benefit Funds.TypeChannel Partner/ Reseller/ Distributor
Description

In-network with major employer fertility benefits providers, allowing members to access up to $10,000 in fertility care funds for Legacy's services. Cited for both testing and freezing coverage.

Strategic tierFlagship — Covers Over 9M Us Veterans With Semen Analysis And Storage At 100% With A Provider Referral.TypeChannel Partner/ Reseller/ Distributor
Description

In-network with Optum VA Community Care Network and TriWest, covering semen analysis and storage for veterans. Legacy signed contracts to serve over 9 million US veterans. Veterans need only a referral from their VA provider to access 100% covered services. Legacy is listed as 'Give Legacy, Inc., located in New York' (NPI 1366068454) for VA billing.

Strategic tierCore — Covers Active-Duty And Reserve Military Members.TypeChannel Partner/ Reseller/ Distributor
Description

In-network with TRICARE West for active-duty and reserve military members. Provides discounted or fully covered at-home semen analysis and sperm freezing services for military families.

Strategic tierStrategic — Flagship Military Nonprofit Partner Enabling Complementary Service To Navy Seals.TypeGTM or Marketing Partner
Description

Partnership offers complementary (free) sperm testing and freezing to Naval Special Warfare service members (Navy SEALs) through the Tadpole Project program.

Strategic tierStrategic — Flagship Military Nonprofit Partner Enabling Complementary Service To Green Berets.TypeGTM or Marketing Partner
Description

Partnership offers complementary sperm testing and freezing to U.S. Army Special Forces (Green Berets) through the Green Beret Foundation.

Strategic tierStrategic — Military Nonprofit Partner Providing Discounts For Military Families.TypeGTM or Marketing Partner
Description

Partnership provides discounted sperm testing and freezing for military families seeking fertility treatments through the Operation Baby Foundation non-profit.

Strategic tierMinor — Discount Distribution Channel For Active-Duty And Veterans.TypeGTM or Marketing Partner
Description

Discount distribution partnership offering 20% off Legacy services via the WeSalute rewards platform for military members and veterans.

Strategic tierMinor — Verification-Based Marketplace Channel For Military Discount.TypeGTM or Marketing Partner
Description

Marketplace listing on ID.me enables military and veteran ID verification for a 10% discount on Legacy services.

Strategic tierMinor — Discount Distribution For Veterans.TypeGTM or Marketing Partner
Description

Partnership provides veteran discounts on Legacy's at-home semen analysis and sperm freezing services.

Strategic tierStrategic — Featured Launch Partner In Carrot'S Curated Marketplace.TypeChannel Partner/ Reseller/ Distributor
Description

Featured as one of seven launch partners in the Carrot Collective curated marketplace for fertility and hormonal health products (December 2025). Available to all Carrot members globally at no additional cost to employers.

Strategic tierCore — Trusted Referral Partners For Transgender And Gender-Diverse Patients.TypeChannel Partner/ Reseller/ Distributor
Description

Trusted-by partnerships with leading LGBTQ+ telehealth platforms (FOLX, Plume), pediatric research hospitals (Children's Hospital of Philadelphia), and clinical associations (WPATH — World Professional Association for Transgender Health) route transgender patients to Legacy for fertility preservation prior to gender-affirming hormone therapy or surgery.

Strategic tierStrategic — Legacy-Funded Research Collaboration Published In Human Reproduction.TypeStrategic or Co-development Partner
Description

Legacy funded research with Harvard on occupational factors and markers of testicular function among men attending a fertility center (Lidia Mínguez-Alarcón et al., Human Reproduction, April 2023).

Strategic tierStrategic — Research Grant Sponsor And Standards-Body Partner.TypeStrategic or Co-development Partner
Description

Legacy supported ASRM's 2023 Pilot & Exploratory Grant Awardee (Audrey Gaskins, ScD) for research on microplastics and male fertility. Legacy is also referenced as affiliated with ASRM standards on its 'How it works' page.

Strategic tierStrategic — Crada Partner On Veteran Fertility Research.TypeStrategic or Co-development Partner
Description

2023 Cooperative Research and Development Agreement (CRADA) with the Veterans Health Administration funding a Veteran fertility study.

Strategic tierCore — Embedded Financing Partner Across Kits And Bundles.TypeTechnology or Integration
Description

Embedded buy-now-pay-later financing integration across Legacy's kit and bundle lineup (e.g., $25/month for Standard Analysis, $42/month for For Tomorrow, $97/month for Forever), expanding affordability and basket size.

Strategic tierStrategic — Covers Nypd Members For High-Risk Occupation Fertility Preservation.TypeChannel Partner/ Reseller/ Distributor
Description

Legacy is in-network with EmblemHealth, which covers NYPD. Used by high-risk occupation customers (police, firefighters, manufacturing/agricultural workers) for at-home sperm testing and freezing.

20Upstream Fertility
Strategic tierStrategic — Military Fertility Pilot Partner.TypeStrategic or Co-development Partner
Description

Upstream Fertility partnered with Legacy (announced October 2025) on a pilot program measuring sperm health improvements after 10 weeks of personalized coaching for active-duty service members and Veterans.

givelegacy.com
Recent move6 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight6 records

Each record includes

Type, Description

Peers10 records
1Dadi
TypeDirect peer
Description

Dadi is the closest direct competitor, offering at-home mail-in sperm collection, analysis, and cryopreservation. Like Legacy, it sells DTC subscription storage plans and targets men planning for future fertility, making it a near-identical substitute in the at-home male fertility category.

TypeBroad incumbent
Description

Hims is a broad DTC men's health and telehealth platform offering treatments for hair loss, sexual health, and hormonal optimization. It overlaps with Legacy at the men's health/sexual wellness consumer and overlaps in TRT-related use cases, though it does not specialize in fertility testing or cryopreservation.

3Ro
TypeBroad incumbent
Description

Ro is a direct-to-patient telehealth and men's health company (Roman, Rory) covering fertility, sexual health, weight loss, and primary care. Ro's fertility offerings and men's health orientation make it a broad incumbent competitor with overlapping consumer base and cross-sell potential.

TypeBroad incumbent
Description

Carrot is a leading employer-sponsored fertility benefits platform and Legacy's distribution partner through the Carrot Collective marketplace. While not a direct product competitor, Carrot shapes member access to fertility services (including Legacy) and could build or partner with competing at-home fertility offerings.

TypeBroad incumbent
Description

Progyny is a leading employer fertility benefits provider whose members can use Legacy services. As a payer partner, Progyny is more of a distribution channel than competitor, but it shapes which fertility providers employees access and could expand into men's fertility testing directly.

TypeBroad incumbent
Description

Maven is a virtual care platform for women's and family health, including fertility, pregnancy, and postpartum. Maven's fertility benefits include male partner testing referrals and overlap with Legacy in family-building journeys, particularly for employer-sponsored benefit cohorts.

TypeBroad incumbent
Description

Kindbody is a fertility clinic chain and employer benefits provider offering virtual and in-person fertility care. It competes with Legacy in employer fertility benefit ecosystems (some Kindbody plans cover Legacy) and offers its own sperm analysis and cryopreservation services in clinic.

TypeDirect peer
Description

California Cryobank is a long-established sperm bank offering donor sperm, sperm analysis, and long-term storage. It is a traditional-clinic competitor to Legacy, and the at-home/mail-in channel is structurally taking share from cryobanks that require in-person visits.

TypeDirect peer
Description

Cryos is one of the world's largest sperm banks offering donor sperm and storage services. It represents the traditional sperm-bank category Legacy is disrupting with its at-home mail-in model and lower cost structure.

TypeDirect peer
Description

Fairfax Cryobank is a long-established U.S. sperm bank offering donor sperm, fertility testing, and long-term storage. It is a traditional clinic-side competitor against which Legacy's at-home model competes on convenience, cost, and turnaround time.

Market position
Strengths5 records

Each record includes

Headline, Details, Source

Weaknesses5 records

Each record includes

Headline, Details, Source

Competitive moat6 records

Each record includes

Type, Details

Key risks6 records

Each record includes

Headline, Details, Source

Key highlights7 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Named customers10 records

Each record includes

Name, Industry, Type, Use case, Source, UUID

Segment8 records

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile5 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
Yes
API detail
Has APIbool
No

Docs URL, Description

Integration6 records

Each record includes

Title, Type, Description, Source

AI capability6 records

Each record includes

Type, Description, Source

AI maturity
App detail

Has app

Feature7 records

Each record includes

Title, Differentiator, Description, Source

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles12 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

No data
Compliance4 records

Each record includes

Name, Class, Description

Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds7 records

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors20 records

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Legacy

Male fertility servicesgivelegacy.com

Legacy firmographics

Firmographics
Name
Legacy
Legal name
Give Legacy, Inc.
Website
https://givelegacy.com
Company type
Private
Founded year
2019
Operating status
Operating
Headcount range
11–50 employees
Ownership category
akta.pro rank

Legacy industry classification

Industry
Product category
Male fertility services
NAICS
Family Planning Centers (621410)
SIC
In Vitro & In Vivo Diagnostic Substances (2835)
akta.pro primary industry
Reproductive Endocrinology & Infertility (IVF/Fertility) (HLAKAJAC)
akta.pro secondary industries
Fertility & Reproductive Endocrinology Telehealth (IVF/IUI, infertility evaluation) (HLALAHAA), Prenatal, Newborn & Reproductive Diagnostics (NIPT, IVF/PGT, newborn screening) (HLAAALAJ)

Keywords

  • Male fertility testing
  • Sperm cryopreservation
  • At-home diagnostics
  • Reproductive health services
  • Fertility preservation

Where Legacy is headquartered

Location

Headquarters

HQ city
New York
HQ country
United States
HQ region
North America

Offices2 records

Markets served

Legacy business model

Business model
GTM type
B2C
Offering type
Services
Cost components
Personnel, Operations, Marketing or Sales, Technology or R&D, Supply Chain, Infrastructure

Revenue model

  1. Semen analysis kits (one-time purchase): Direct-to-consumer sales of mail-in semen analysis kits at tiered price points: Basic ($145), Standard ($295), and Advanced with DNA fragmentation testing ($495). Customers can purchase directly via e-commerce or through insurance/benefits coverage, often at $0 out-of-pocket.
  2. Annual sperm cryostorage subscriptions: Recurring annual storage plans bundled with semen analysis and collection kits. For Today bundle ($486/yr, $245 per sample per year), For Tomorrow ($1,495/3yr), For The Future ($2,095/10yr), and Forever ($3,496.50/25yr, 12 vials across 3 samples). Renewable annual contracts create predictable recurring revenue.
  3. Male fertility supplement sales: Direct e-commerce sales of Legacy's science-backed Male Fertility Supplement (10 active ingredients, 3-month supply) priced at $195. Final sale, HSA/FSA eligible with letter of medical necessity.
  4. Insurance and benefits reimbursements: Revenue from in-network coverage with major health plans (Aetna, Cigna, Emblem, UnitedHealthcare), fertility benefits providers (Progyny, Carrot, Maven, WIN Fertility, Stork Club, Kindbody), and VA/military channels (Optum VA Community Care Network, TriWest, TRICARE West), often delivering $0 out-of-pocket patient pricing.
  5. B2B clinic and healthcare provider partnerships: Revenue from the Legacy Network of over 400 fertility and urology clinics across the United States, including post-vasectomy preservation/testing solutions for vasectomy clinics serving over 50,000 patients. Includes exclusive clinic pricing, staff training, and patient education.
  6. Marketplace distribution: Featured partner placement on the Carrot Collective marketplace (clinically vetted products for fertility and hormonal health), plus WeSalute and ID.me military marketplaces, driving incremental traffic and acquisition.
  7. Financing and consumer payment plans: Affirm-based monthly financing plans offered on kits and bundles (e.g., $25/mo for Standard Analysis, $42/mo for For Tomorrow, $97/mo for Forever), enabling access to higher-priced bundles via pay-over-time options.

Pricing tiers

ModelBillingPrice
One time/ perpetual licensePay-as-you-goBasic Semen Analysis
One time/ perpetual licensePay-as-you-goStandard Semen Analysis
One time/ perpetual licensePay-as-you-goAdvanced Semen Analysis with DNA Fragmentation
SubscriptionAnnualFor Today bundle (1 year)
SubscriptionMulti-year contractFor Tomorrow bundle (3 years)
SubscriptionMulti-year contractFor The Future bundle (10 years)
SubscriptionMulti-year contractForever bundle (25 years)
One time/ perpetual licensePay-as-you-goMale Fertility Supplement
Unit PricingPay-as-you-goProteX™ Semen Collection Cup
One time/ perpetual licensePay-as-you-goPost-Vasectomy Semen Analysis

Go-to-market motion4 records

Distribution channels7 records

Marketing channels10 records

Legacy product offering

Product offering

Core offering

Legacy (Give Legacy, Inc.) operates a direct-to-consumer digital male fertility clinic that delivers clinic-grade sperm testing and long-term cryopreservation through a mail-in workflow. Customers order at-home semen analysis kits and sperm freezing bundles, collect samples privately, and ship them overnight to Legacy's CLIA-certified and CLEP-approved andrology lab for diagnostic analysis and multi-geographic cryogenic storage. The company also offers a Male Fertility Supplement, a pre-freeze STI test, a post-vasectomy analysis kit, and a proprietary Sperm Insights longitudinal data platform.

Product overview

Legacy (Give Legacy, Inc.) operates a unified digital male fertility platform combining at-home sperm testing, long-term cryopreservation, and clinical-grade analysis in a single mail-in workflow. The core product line is the at-home semen analysis kit, offered in three tiers: the Basic Semen Analysis ($145), Standard Semen Analysis with morphology and Sperm Insights dashboard ($295), and Advanced Semen Analysis with DNA Fragmentation Testing ($495). Customers can layer these tests with one of four cryopreservation bundles — For Today (1 year), For Tomorrow (3 years), For The Future (10 years), and Forever (25 years, 12 vials). Adjacent offerings include the Male Fertility Supplement, an STI Testing kit, and a Post-Vasectomy Semen Analysis. The recently launched Sperm Insights data platform turns analysis results into longitudinal health tracking via a proprietary Sperm Score, while the ProteX Semen Collection Cup (developed with Reproductive Solutions) is integrated into all kits. The underlying clinical service is delivered through Legacy's CLIA-certified, CLEP-approved andrology lab, supported by the Legacy Network of 400+ partner clinics.

Differentiator

Problem solved

Functional benefit

Brands

  • Sperm Insights: A first-of-its-kind data platform that transforms clinical semen analysis data into personalized, longitudinal health insights with a proprietary Sperm Score metric.
  • Male Fertility Supplement

Products and services

  • At-Home Semen Analysis Kit Mail-in, clinic-grade at-home semen analysis kit offered in three tiers — Basic ($145, volume, count, concentration, motility), Standard ($295, plus morphology and lifetime Sperm Insights dashboard), and Advanced ($495, plus Halosperm DNA fragmentation testing). Designed for men trying to conceive, planning IUI/IVF, screening donors, or proactively assessing sperm health; processed in Legacy's CLIA-certified and CLEP-approved andrology lab.
  • Sperm Cryopreservation Bundle Mail-in sperm freezing and cryogenic storage bundles, with annual renewable contracts at $245 per sample per year. Options include For Today (1 year, 1 sample), For Tomorrow (3 years, 2 samples), For The Future (10 years, 2 samples), and Forever (25 years, 12 vials across 3 samples with Advanced Semen Analysis, STI testing, and lifetime multi-location storage). Samples are split across multiple cryogenic facilities using liquid nitrogen vapor slow-freeze at -196°C; for pre-vasectomy, pre-deployment, pre-TRT, pre-gender-affirming care, and oncology preservation.
  • Post-Vasectomy Semen Analysis Mail-in post-vasectomy semen analysis ($145) measuring sperm concentration with manual verification of azoospermia, conformant with AUA guidelines. Designed to increase compliance with post-vasectomy testing and is sold direct-to-consumer and through the Legacy Network of urology and vasectomy clinics.
  • Male Fertility Supplement
  • Pre-Freeze STI Test Kit
  • Sperm Insights Data Platform Proprietary data platform that converts clinical semen analysis results into personalized longitudinal health tracking, featuring a proprietary Sperm Score metric, age-based benchmarking, trend monitoring, and connections between sperm health and broader wellness. Lifetime access is bundled with the Standard and Advanced Semen Analysis kits. Positions Legacy alongside consumer health platforms such as Function Health, WHOOP, and Oura.
  • ProteX Semen Collection Cup Trademarked ProteX™ Semen Collection Cup co-developed with Reproductive Solutions; supports sample integrity for up to 24 hours, minimizes environmental exposure, and reduces leakage during transport. Priced at $99.95 standalone or included at no extra cost in Legacy's semen analysis and cryopreservation kits; delivers ~30% faster transit and 11% greater motility retention versus competing at-home options.
  • Virtual Fertility Consultation

Quantifiable outcome

  • Up to 54% higher patient compliance with at-home semen collection vs. traditional clinics
  • +10 more outcomes

Companies that use Legacy

Customer profile

Named customers10 records

Segments8 records

Ideal customer profiles5 records

Legacy technology and API

Technology

Technology focussed Yes

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Integration6 records

AI capability6 records

Feature7 records

Legacy partnerships and signals

Strategic signal

Partnerships

20 partnerships are on record, tiered flagship — co-developed product included across legacy's kit line., strategic research collaboration partner for the $1m sperm study., core distribution — major in-network health insurance plans enabling $0 out-of-pocket access., core distribution — employer fertility benefits providers enabling $0 out-of-pocket access and employee benefit funds., flagship — covers over 9m us veterans with semen analysis and storage at 100% with a provider referral., core — covers active-duty and reserve military members., strategic — flagship military nonprofit partner enabling complementary service to navy seals., strategic — flagship military nonprofit partner enabling complementary service to green berets., strategic — military nonprofit partner providing discounts for military families., minor — discount distribution channel for active-duty and veterans., minor — verification-based marketplace channel for military discount., minor — discount distribution for veterans., strategic — featured launch partner in carrot's curated marketplace., core — trusted referral partners for transgender and gender-diverse patients., strategic — legacy-funded research collaboration published in human reproduction., strategic — research grant sponsor and standards-body partner., strategic — crada partner on veteran fertility research., core — embedded financing partner across kits and bundles., strategic — covers nypd members for high-risk occupation fertility preservation. and strategic — military fertility pilot partner..

  • Reproductive Solutionsflagship — co-developed product included across legacy's kit line.Strategic or Co-development PartnerCo-developed the ProteX™ Semen Collection Cup, launched in May 2026. The cup maintains sample integrity for up to 24 hours, minimizes environmental exposure, and reduces leakage during transport. It is priced at $99.95 standalone and included at no extra cost in Legacy's semen analysis and cryopreservation kits, with 30% faster transit times and 11% greater motility retention versus competitors.
  • IVF Academy USAstrategic research collaboration partner for the $1m sperm study.Strategic or Co-development PartnerCollaborating with Legacy on the $1 million 'Sperm Study' (launched May 2026) — a multi-phase clinical research initiative enrolling up to 250 participants to evaluate at-home semen collection for IVF and IUI, assessing motility, DNA fragmentation, and post-thaw viability under real-world shipping conditions. Findings are expected to inform improved specimen collection protocols, shipping standards, and clinical decision-making.
  • Aetna, Cigna, Emblem, UnitedHealthcarecore distribution — major in-network health insurance plans enabling $0 out-of-pocket access.Channel Partner/ Reseller/ DistributorIn-network coverage with leading U.S. health insurance plans: Aetna, Cigna, Emblem, and UnitedHealthcare (state-dependent). Coverage applies to sperm testing and freezing, allowing many patients to pay $0 out-of-pocket depending on plan.
  • Progyny, Carrot, Maven, WIN Fertility, Stork Club, Kindbodycore distribution — employer fertility benefits providers enabling $0 out-of-pocket access and employee benefit funds.Channel Partner/ Reseller/ DistributorIn-network with major employer fertility benefits providers, allowing members to access up to $10,000 in fertility care funds for Legacy's services. Cited for both testing and freezing coverage.
  • U.S. Department of Veterans Affairs (Optum VA Community Care Network, TriWest)flagship — covers over 9m us veterans with semen analysis and storage at 100% with a provider referral.Channel Partner/ Reseller/ DistributorIn-network with Optum VA Community Care Network and TriWest, covering semen analysis and storage for veterans. Legacy signed contracts to serve over 9 million US veterans. Veterans need only a referral from their VA provider to access 100% covered services. Legacy is listed as 'Give Legacy, Inc., located in New York' (NPI 1366068454) for VA billing.
  • TRICARE Westcore — covers active-duty and reserve military members.Channel Partner/ Reseller/ DistributorIn-network with TRICARE West for active-duty and reserve military members. Provides discounted or fully covered at-home semen analysis and sperm freezing services for military families.
  • Military Family Building Coalition (Tadpole Project)strategic — flagship military nonprofit partner enabling complementary service to navy seals.GTM or Marketing PartnerPartnership offers complementary (free) sperm testing and freezing to Naval Special Warfare service members (Navy SEALs) through the Tadpole Project program.
  • Green Beret Foundationstrategic — flagship military nonprofit partner enabling complementary service to green berets.GTM or Marketing PartnerPartnership offers complementary sperm testing and freezing to U.S. Army Special Forces (Green Berets) through the Green Beret Foundation.
  • Operation Baby Foundationstrategic — military nonprofit partner providing discounts for military families.GTM or Marketing PartnerPartnership provides discounted sperm testing and freezing for military families seeking fertility treatments through the Operation Baby Foundation non-profit.
  • WeSaluteminor — discount distribution channel for active-duty and veterans.GTM or Marketing PartnerDiscount distribution partnership offering 20% off Legacy services via the WeSalute rewards platform for military members and veterans.
  • ID.meminor — verification-based marketplace channel for military discount.GTM or Marketing PartnerMarketplace listing on ID.me enables military and veteran ID verification for a 10% discount on Legacy services.
  • Veterans Advantageminor — discount distribution for veterans.GTM or Marketing PartnerPartnership provides veteran discounts on Legacy's at-home semen analysis and sperm freezing services.
  • Carrot Fertility (Carrot Collective marketplace)strategic — featured launch partner in carrot's curated marketplace.Channel Partner/ Reseller/ DistributorFeatured as one of seven launch partners in the Carrot Collective curated marketplace for fertility and hormonal health products (December 2025). Available to all Carrot members globally at no additional cost to employers.
  • FOLX Health, Plume, Children's Hospital of Philadelphia, WPATHcore — trusted referral partners for transgender and gender-diverse patients.Channel Partner/ Reseller/ DistributorTrusted-by partnerships with leading LGBTQ+ telehealth platforms (FOLX, Plume), pediatric research hospitals (Children's Hospital of Philadelphia), and clinical associations (WPATH — World Professional Association for Transgender Health) route transgender patients to Legacy for fertility preservation prior to gender-affirming hormone therapy or surgery.
  • Harvard University (Lidia Mínguez-Alarcón et al.)strategic — legacy-funded research collaboration published in human reproduction.Strategic or Co-development PartnerLegacy funded research with Harvard on occupational factors and markers of testicular function among men attending a fertility center (Lidia Mínguez-Alarcón et al., Human Reproduction, April 2023).
  • American Society for Reproductive Medicine (ASRM)strategic — research grant sponsor and standards-body partner.Strategic or Co-development PartnerLegacy supported ASRM's 2023 Pilot & Exploratory Grant Awardee (Audrey Gaskins, ScD) for research on microplastics and male fertility. Legacy is also referenced as affiliated with ASRM standards on its 'How it works' page.
  • U.S. Department of Veterans Affairs (Veterans Health Administration)strategic — crada partner on veteran fertility research.Strategic or Co-development Partner2023 Cooperative Research and Development Agreement (CRADA) with the Veterans Health Administration funding a Veteran fertility study.
  • Affirmcore — embedded financing partner across kits and bundles.Technology or IntegrationEmbedded buy-now-pay-later financing integration across Legacy's kit and bundle lineup (e.g., $25/month for Standard Analysis, $42/month for For Tomorrow, $97/month for Forever), expanding affordability and basket size.
  • EmblemHealth (NYPD coverage)strategic — covers nypd members for high-risk occupation fertility preservation.Channel Partner/ Reseller/ DistributorLegacy is in-network with EmblemHealth, which covers NYPD. Used by high-risk occupation customers (police, firefighters, manufacturing/agricultural workers) for at-home sperm testing and freezing.
  • Upstream Fertilitystrategic — military fertility pilot partner.Strategic or Co-development PartnerUpstream Fertility partnered with Legacy (announced October 2025) on a pilot program measuring sperm health improvements after 10 weeks of personalized coaching for active-duty service members and Veterans.

Scale indicators15 records

Recent moves6 records

Expansion highlights6 records

Legacy competitors and assessment

Company assessment

Direct peers

  • Dadi: Dadi is the closest direct competitor, offering at-home mail-in sperm collection, analysis, and cryopreservation. Like Legacy, it sells DTC subscription storage plans and targets men planning for future fertility, making it a near-identical substitute in the at-home male fertility category.
  • California Cryobank: California Cryobank is a long-established sperm bank offering donor sperm, sperm analysis, and long-term storage. It is a traditional-clinic competitor to Legacy, and the at-home/mail-in channel is structurally taking share from cryobanks that require in-person visits.
  • Cryos International: Cryos is one of the world's largest sperm banks offering donor sperm and storage services. It represents the traditional sperm-bank category Legacy is disrupting with its at-home mail-in model and lower cost structure.
  • Fairfax Cryobank: Fairfax Cryobank is a long-established U.S. sperm bank offering donor sperm, fertility testing, and long-term storage. It is a traditional clinic-side competitor against which Legacy's at-home model competes on convenience, cost, and turnaround time.

Broad incumbents

  • Hims & Hers Health: Hims is a broad DTC men's health and telehealth platform offering treatments for hair loss, sexual health, and hormonal optimization. It overlaps with Legacy at the men's health/sexual wellness consumer and overlaps in TRT-related use cases, though it does not specialize in fertility testing or cryopreservation.
  • Ro: Ro is a direct-to-patient telehealth and men's health company (Roman, Rory) covering fertility, sexual health, weight loss, and primary care. Ro's fertility offerings and men's health orientation make it a broad incumbent competitor with overlapping consumer base and cross-sell potential.
  • Carrot Fertility: Carrot is a leading employer-sponsored fertility benefits platform and Legacy's distribution partner through the Carrot Collective marketplace. While not a direct product competitor, Carrot shapes member access to fertility services (including Legacy) and could build or partner with competing at-home fertility offerings.
  • Progyny: Progyny is a leading employer fertility benefits provider whose members can use Legacy services. As a payer partner, Progyny is more of a distribution channel than competitor, but it shapes which fertility providers employees access and could expand into men's fertility testing directly.
  • Maven Clinic: Maven is a virtual care platform for women's and family health, including fertility, pregnancy, and postpartum. Maven's fertility benefits include male partner testing referrals and overlap with Legacy in family-building journeys, particularly for employer-sponsored benefit cohorts.
  • Kindbody: Kindbody is a fertility clinic chain and employer benefits provider offering virtual and in-person fertility care. It competes with Legacy in employer fertility benefit ecosystems (some Kindbody plans cover Legacy) and offers its own sperm analysis and cryopreservation services in clinic.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

Legacy social profiles

Digital presence

Legacy compliance and trust

Trust signal

Compliance4 records

Legacy financial estimates

Financial estimate

Revenue estimate

Valuation estimate

Legacy leadership team

Management profile

Number of profiles

Profiles12 records

Legacy funding detail

Funding detail

Funding overview

Funding rounds7 records

Investors20 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

Legacy M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Legacy

What does Legacy do?

Legacy (Give Legacy, Inc.) operates a direct-to-consumer digital male fertility clinic that delivers clinic-grade sperm testing and long-term cryopreservation through a mail-in workflow. Customers order at-home semen analysis kits and sperm freezing bundles, collect samples privately, and ship them overnight to Legacy's CLIA-certified and CLEP-approved andrology lab for diagnostic analysis and multi-geographic cryogenic storage. The company also offers a Male Fertility Supplement, a pre-freeze STI test, a post-vasectomy analysis kit, and a proprietary Sperm Insights longitudinal data platform.

Is Legacy a public or private company?

Legacy is a private company. It is classified as venture growth investor backed and is currently operating.

When was Legacy founded?

Legacy was founded in 2019. It employs 11 to 50 people.

Where is Legacy based?

Legacy is headquartered in New York, United States, in the North America region.

How does Legacy make money?

Seven revenue lines are on record. Semen analysis kits (one-time purchase) is the primary driver. The others are annual sperm cryostorage subscriptions, male fertility supplement sales, insurance and benefits reimbursements, B2B clinic and healthcare provider partnerships, marketplace distribution and financing and consumer payment plans.

Who are Legacy's main competitors?

Direct peers on record are Dadi, California Cryobank, Cryos International and Fairfax Cryobank. Broad incumbents are Hims & Hers Health, Ro, Carrot Fertility, Progyny, Maven Clinic and Kindbody.

Does Legacy have an API?

No public API is recorded for Legacy.

What industry is Legacy in?

Legacy's product category is Male fertility services. Its primary akta.pro industry code is HLAKAJAC, Reproductive Endocrinology & Infertility (IVF/Fertility), with a secondary code of HLALAHAA, Fertility & Reproductive Endocrinology Telehealth (IVF/IUI, infertility evaluation). Its NAICS code is 621410 and its SIC code is 2835.

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Live signals
FinancialContent Business PageNucleus and Legacy Partner to Help Families Decide If IVF is Right for ThemNucleus Genomics announced on August 26, 2026 a partnership with Legacy, giving Nucleus customers access to Legacy's at-home sperm testing and freezing, and Legacy customers access to Nucleus Preview, an at-home preconception genetic test. Legacy has performed more than 75,000 sperm analyses, while Nucleus has served thousands of patients with advanced genetic testing. Nucleus also cited recent partnerships with Southern California Reproductive Center and Fertility Institute of Hawaii.WikipediaDraft:Legacy (company): Difference between revisionsLegacy is a male fertility and sperm testing company based in New York City, founded by Khaled Kteily in 2018. The article provides background context on the company's establishment and references external reporting on its fundraising efforts. No specific new operational event or financial transaction is reported within this text.FinancialContent Business PageUnder Kteily's Leadership, Legacy Has Become North America's Leading Digital Male Fertility Clinic, Backed By $50M Of Funding from Investors Like Bain Capital Ventures, Y Combinator, And FirstMark CapLegacy (Give Legacy, Inc.), the digital male fertility clinic founded by Khaled Kteily out of Harvard University in 2018, has grown into North America's leading at-home sperm testing and storage company, offering semen analysis, sperm DNA fragmentation testing, STI screening, and cryogenic storage through its CLIA-certified laboratory in New Jersey. The company has raised more than $50 million from investors including Bain Capital Ventures, FirstMark Capital, TRAC.vc, and celebrity investors, and reached profitability in 2024 following a funding round led by AI-driven fund TRAC.vc. Legacy has signed contracts to extend fertility services to more than nine million U.S. veterans through a partnership with the Veterans Health Administration and military family organizations, having completed close to 100,000 tests to date.PR NewswireLegacy Receives New York State CLEP Approval for Two Laboratory-Developed Tests: Semen Analysis and DNA FragmentationLegacy, a male fertility testing and sperm preservation company, has received approval from the New York State Department of Health's Clinical Laboratory Evaluation Program for two of its laboratory-developed tests: semen analysis and sperm DNA fragmentation analysis. New York operates the only state-level program in the United States requiring formal pre-market review of laboratory-developed tests, evaluating the validity of test methodology itself. With this approval, New York patients can now access Legacy's clinical-grade male fertility testing from home samples, as both tests are validated for at-home sample collection returned to Legacy's CLIA-certified laboratory.MorningstarLegacy Receives New York State CLEP Approval for Two Laboratory-Developed Tests: Semen Analysis and DNA FragmentationLegacy's semen analysis and sperm DNA fragmentation tests cleared New York State's CLEP pre-market review. The approvals validate the tests' methodology, and both are validated for at-home sample collection. Legacy's CEO said the approvals provide strong evidence of clinical validity.GlobeNewswireLegacy MCS Completes Two Build-to-Rent Communities in Hutto as Growth Accelerates Across Central TexasLegacy MCS, a Texas-based contractor, completed two build-to-rent communities in Hutto, Texas, expanding its regional presence amid rapid growth in Central Texas. The projects, Yardhomes Cottonwood Creek and Village at Hutto Station, added 570 rental homes, with strong local partnership and fast construction techniques contributing to timely delivery. The developments aim to meet housing demand driven by economic growth and employer investment, including Samsung's semiconductor facility nearby.PR NewswireLegacy Launches "Emerging Leaders in Reproductive Science Award," Dedicating $50,000 to Support the Next Generation of Fertility SpecialistsLegacy, a digital fertility clinic, announced the launch of the "Emerging Leaders in Reproductive Science Award" program, dedicating over $50,000 to provide weekly $1,000 awards to residents and fellows in reproductive medicine specialties including urology, obstetrics and gynecology, and reproductive endocrinology and infertility. The program aims to support early-career physicians and researchers by offering financial assistance and national recognition, with the first award to be granted on June 1, 2026. Legacy stated that the initiative is intended to encourage continued progress in areas such as male factor infertility diagnosis, IVF optimization, fertility preservation, and reproductive health equity.PR NewswireLegacy Launches Upgraded At-Home Fertility Kit Featuring ProteX™ Collection TechnologyLegacy, the leading U.S. male fertility clinic and at-home testing platform, has launched an upgraded at-home semen collection kit featuring the ProteX™ Semen Collection Cup, developed in partnership with Reproductive Solutions. The ProteX cup, priced at $99.95 and included at no extra cost in Legacy's semen analysis and cryopreservation kits, is designed to support sample integrity for up to 24 hours, minimize environmental exposure, and reduce leakage during transport. The partnership aims to strengthen Legacy's clinical offerings while leveraging existing performance advantages, including approximately 30% faster transit times and 11% greater motility retention versus competing at-home testing options.AijournLegacy Launches $1M Study Advancing At-Home Semen Collection for Assisted Reproduction TechnologyLegacy, a male fertility clinic and at-home sperm testing platform, announced the Sperm Study, a $1M+ clinical research initiative evaluating at-home semen collection for IVF and IUI procedures, enrolling up to 250 participants across two phases through 2027. The study, conducted in collaboration with IVF Academy USA, will assess how specimen shipment, handling, and cryopreservation affect sperm quality parameters including motility, DNA fragmentation, and post-thaw viability. Findings are expected to inform improved specimen collection protocols and shipping standards for at-home fertility testing, a rapidly growing market segment.PR NewswireLegacy Launches $1M Study Advancing At-Home Semen Collection for Assisted Reproduction TechnologyLegacy, a leading male fertility clinic, announced the Sperm Study, a clinical research initiative backed by over $1 million in R&D investment to evaluate at-home semen collection for assisted reproductive technologies including IVF and IUI. The study will enroll up to 250 participants across two phases and is designed to close gaps in understanding how specimen shipment, handling, and cryopreservation impact sperm quality under real-world shipping conditions, evaluating parameters including motility, DNA fragmentation, and post-thaw viability. Conducted in collaboration with IVF Academy USA, findings are expected to inform improved specimen collection protocols and clinical decision-making for fertility clinics and patients.