Start hormone therapy now, consider parenthood later.

Easily, securely, and affordably preserve your fertility before gender-affirming care with Legacy’s state-of-the-art at-home sperm collection kit.

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What trans women need to know about fertility

If you’re considering gender-affirming hormone therapy (GAHT), it’s important to be proactive about fertility. You may not know what your future family will look like — or even if you want kids — but you can take steps to preserve your options.

Three trans women smiling confidently

GAHT and sperm

GAHT, including estrogen and T-blockers may have a significant, long-term impact on fertility. Research finds that certain hormone regimens may impact fertility after just a few weeks.

For that reason, sperm freezing is best done before or at the very beginning of hormone therapy. If you’ve already started hormone therapy, you can test your sperm to see how it’s been affected.

Your transition, uninterrupted

If you have frozen sperm available, you could have a genetic child in the future without stopping your hormone therapy, even if you’ve taken hormone therapy for years or have bottom surgery.

Frozen sperm can be used in IUI (artificial insemination) or IVF later on. Once in storage, sperm remains as healthy and high-quality as it was when you froze it — giving you plenty of flexibility around family-building.

Your inclusive, affirming fertility partner

Legacy has helped over 2,000 trans and gender non-conforming patients preserve their fertility.

Family building for all

Legacy is an inclusive option. We partner with leading transgender health clinics, our clinicians are WPATH members, and our team has been trained in transgender care.

From checkout to lab in less than a week

We’re 10x faster than a traditional clinic. Freeze your sperm without delaying your gender-affirming care — no doctor’s order required.

Save over 60% compared to clinics

You have a lot of other costs to worry about. Here, sperm freezing starts at $145 per year, and we’re in network with most major insurance plans and benefits.

Security and privacy at every step

Your kit arrives in discreet packaging, your results are available on a private virtual dashboard, and your sample is stored in multiple locations.

“Do I want kids? I might want them in the future, and this is kind of like insurance. Sperm insurance. Legacy sends you an at-home collection kit, and with that I was able to skip the awkward offices.”

Brenna Jordan

Storing for future family

Picture of Brenna Jordan smiling

“I sought out Legacy on really short notice, as I was just about to begin HRT, and I didn't want to take the chance on not being able to have kids in the future. With Legacy, I was able to get my kit in just 2 days, which meant I could start HRT much sooner than if I went with anyone else.”

Aya C.

Beginning HRT

Trans woman and her partner smiling while on vacation

“I've recommended Legacy to all my friends. Being trans and beginning to medically transition/many of us are met with an influx of hurdles. Legacy made it really easy+accessible. Am super glad opted for Legacy and not a random bank/clinic.”

Bay Davis

Beginning HRT

Picture of Bay Davis

How it works

01

Order your collection kit online

Produce your sample at home and ship it back overnight with a prepaid label. We’ll analyze your sample to ensure it’s viable for freezing.

Trans woman smiling while opening a Legacy collection kit
02

Your sample is frozen

Once your sample is stored, you can confidently start or continue your hormone therapy, knowing your option to have children is protected.

Gloved hand placing a vial into a cryostorage tank—secure, temperature-controlled sperm preservation using liquid nitrogen
03

Using your sperm in the future

The more vials you store, the higher the chance that you’ll be able to create a pregnancy. You can keep your samples in storage for as long as you need without affecting their health or viability.

Close-up of a family cuddling—a child sitting on a parent’s lap

Find what’s right for you

Freezing & testing for wherever you are in your journey

Forever Bundle
$3,995
Financing with

25 years of storage for 3 samples

3 collection kits

Pre-freeze STI test

Advanced fertility testing

As low as $111 a month with

For Tomorrow Bundle
$1,195

5 years of storage for 2 samples (renewable)

2 collection kits

Pre-freeze STI test

Advanced fertility testing

Standard semen analysis
$295

1 semen analysis kit

Storage

Pre-freeze STI test

Advanced fertility testing

Ways to save

You may be able to freeze your sperm for $0 out of pocket.

Insurance coverage

Members and dependents on eligible insurance plans may be covered for testing and freezing. Legacy is in-network with Aetna, Cigna, Emblem, UnitedHealthcare, and VA benefits, depending on your state.

Other employer benefits

If your (or your parent’s) employer offers supplementary fertility benefits through Progyny, Carrot, Mave or WIN Fertility, you can access up to $10,000 in funds for fertility preservation.

Trans health clinic partnerships

We work directly with many trans health providers and digital clinics, including Folx, Plume, and to provide preferred pricing. Ask your doctor or clinic if they have a relationship with Legacy.
Check your eligibility

Frequently asked questions

Will Legacy use my name and pronouns?
Can trans women use Legacy to freeze their sperm?
How does gender-affirming hormone therapy affect fertility?
Will my fertility return if I stop taking estrogen or
When should I freeze my sperm before hormone therapy?
I already started hormone therapy. Is it too late to freeze my sperm?
How does gender-affirming surgery, such as vaginoplasty or vulvoplasty, affect fertility?
How many vials of sperm should I freeze before starting hormone therapy?
How long can sperm be frozen?
How can I use my frozen sperm after I transition?
I may use a surrogate or gestational carrier to start a family in the future. Can I work with Legacy?
What are my chances of conceiving with frozen sperm?
How long does it take to freeze sperm with Legacy?
Can I use Legacy if I'm under 18?

Still have questions? We’re here to help.