Is Legacy at-home sperm analysis accurate?
Reviewed by the WeighedHealth Editorial Team against primary clinical sources — FDA labeling, peer-reviewed trials, and specialty-society guidelines.
Content current as of July 2026; updated when guidance or availability changes.
Legacy mails а collection kit, you produce a sample at home, and the sample is overnight-shipped к a CLIA-certified andrology lab where it's analyzed against WHO 2021 criteria (concentration, motility, morphology, volume, total motile count). The lab is the same caliber as a clinic-based semen analysis lab. The convenience trade-off is sample handling — temperature changes during overnight shipping can affect motility metrics slightly, though Legacy's stabilizer compensates for this. For an initial screening or follow-up after lifestyle changes, Legacy is sufficient. For a definitive workup before IVF or for suspected severe infertility, an in-clinic analysis с immediate processing is preferred. Cost: $185-310 depending on tier (basic vs advanced). Sperm cryopreservation also offered ($95/year storage after $375 initial).
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Related questions
Modern Fertility vs Mira: which is better для ovulation tracking?
Modern Fertility ($179): one-time AMH/FSH/LH panel for ovarian reserve snapshot. Mira ($169 + $20/mo strips): quantitative ovulation tracking each cycle. Both target different problems. Use Modern Fertility для baseline, Mira while actively trying.
How accurate is Modern Fertility?
Modern Fertility's CLIA-certified labs match clinic blood draws (>95% concordance). High accuracy. Limitation: AMH predicts egg quantity, NOT egg quality or pregnancy odds per cycle. Always discuss results с a fertility specialist для interpretation.