Male fertility testing that ends with a plan, not just a number
Lab-grade semen analysis, sperm DNA fragmentation, and a full hormone panel — collected at home, analyzed in a certified lab, and reviewed with you by a licensed provider who can treat what the results show. Available in all 50 states.
Provider review booked — Thu 2:30 PM · included with every panel
Most fertility tests hand you a number. Then what?
At-home sperm test kits tell you your count and stop there. Fertility clinics can help, but the average wait for a first appointment is weeks, and testing, bloodwork, and treatment usually mean three different providers. Heally puts the whole path in one place: the test, the bloodwork, the doctor who explains what it means, and — if something needs fixing — the prescription and follow-up to fix it.
Lab-grade analysis from home.
Provider-reviewed results, in plain English.
Medication, hormones, and lifestyle protocols on one platform.
What a complete fertility picture actually includes
Fertility is more than sperm count. Heally's panels combine WHO-standard semen parameters with the hormone and DNA markers most kits skip — the ones most often associated with unexplained infertility.
Sperm count & concentration
How many sperm are present overall and per milliliter. The baseline number every evaluation starts with.
Motility & forward progression
How many sperm are moving, and how many are moving forward. Total motile count (TMSC) is the single most useful predictor of natural conception.
Morphology
The percentage of sperm with a normal shape, which affects their ability to reach and penetrate an egg.
DNA fragmentation
The genetic integrity of sperm. Elevated fragmentation is associated with longer time to conception and higher miscarriage risk — and it's invisible to a standard semen analysis.
Hormone panel
Testosterone, FSH, LH, estradiol, and prolactin: the control system behind sperm production. When semen numbers are off, hormones usually explain why.
Thyroid (TSH)
An underrated input to both testosterone and sperm production, included in the complete panel.
Before something feels wrong
~50% — sperm counts have declined by half
Levine et al., Human Reproduction Update
1 in 2 — infertility cases involve male factors
Fertility is often treated as a women's health issue, but male factors are involved in roughly half of all cases — yet testing usually starts with the female partner.
2–3 mo — today's sperm reflects last quarter's health
Full regeneration cycle: new sperm ≈ every 74 days. Testing over time shows trend, not a snapshot.
cycle
From kit to plan in about a week
Choose a panel below. Your kit ships to your door in discreet packaging within 2 business days.
No clinic collection room. Follow the included instructions and send the sample back with the prepaid label.
A certified lab analyzes your sample and, for hormone panels, your blood spot — results typically within about 48 hours of receipt.
A licensed Heally provider walks through your results with you and, if anything needs attention, builds the treatment plan on the spot.
Choose your panel
Semen Analysis
+ DNA Fragmentation
Complete
The full path, compared
If something's off, you're already in the right place
Most abnormal results have an explanation — and many have a treatment. Because Heally is a full telehealth platform, the doctor who reads your results can act on them the same day.
Raises your body's own testosterone while preserving sperm production. The first-line option when low T and fertility goals collide.
Explore enclomipheneWhen FSH, LH, estradiol, prolactin, or thyroid are the problem, treating the hormone treats the sperm.
Explore hormone careObesity is one of the best-evidenced reversible causes of poor semen quality. GLP-1 programs with medical supervision.
Explore weight-loss programsWhen low T is confirmed and fertility is protected — or not a goal — medically supervised TRT with baseline testing first, so you keep your options open.
Explore TRTOn TRT — or thinking about it? Test first.
Testosterone therapy can suppress sperm production to near zero while you're on it. If children are anywhere in your future plans, a baseline semen analysis before starting TRT — or a check while on it — is one of the highest-value tests you can run. Ask a Heally provider about fertility-preserving options like enclomiphene.
Board-certified urologist with over 30 years of specialized experience in men's health, sexual function, and hormonal wellness. A graduate of George Washington University School of Medicine, Dr. Reichman reviews Heally's male fertility content.
Questions men actually ask
How accurate is at-home testing compared with a clinic?
Your sample isn't analyzed at home — it's collected at home and analyzed in a certified laboratory against the same WHO-standard parameters a clinic uses. The difference is the collection room, not the lab.
What does the test actually measure?
Depending on the panel: sperm count and concentration, motility and forward progression, morphology, semen volume, sperm DNA fragmentation, and a hormone panel covering testosterone, FSH, LH, estradiol, prolactin, and TSH.
How fast do I get results?
Kits ship within 2 business days, and results are typically ready about 48 hours after the lab receives your sample. A provider then reviews them with you.
Do I need a prescription or referral?
No. Order the test directly, and a licensed provider is included on the other end of the results — in all 50 states.
What happens if my results are abnormal?
A Heally provider explains what the numbers mean and what's likely behind them, then builds a plan — which may include hormone treatment such as enclomiphene, weight and lifestyle protocols, further testing, or a referral if you need care beyond telehealth.
I'm on TRT. Should I still test?
Especially then. Testosterone therapy suppresses the signals your body uses to make sperm, often dramatically. Testing shows where you stand, and fertility-preserving alternatives exist if conception is a goal.
How often should I retest?
Sperm regenerates on a roughly 2–3 month cycle, so doctors typically recommend at least two tests to establish a real baseline, then retesting after any treatment or lifestyle change has had a full cycle to show up.
Is my data private?
Yes. Samples are processed under clinical lab standards, results live in your private Heally account, and nothing is shared without your consent.
Then do something about it.
Test from home. Understand your results with a doctor. Treat what needs treating — all in one place.