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Fertility care is undergoing a significant shift as new diagnostic technologies offer deeper insight into reproductive health. OTO Fertility focuses on predicting the likelihood of IVF success before treatment begins, giving couples clarity at a stage where uncertainty has traditionally dominated the process. The system uses a wearable device that captures physiological signals and converts them into predictive metrics, offering a noninvasive method for understanding fertility readiness.The challenge addressed by this technology is substantial. IVF remains expensive, time‑consuming, and emotionally demanding, yet the success rate for a single transfer remains low. Many couples undergo multiple cycles without clear guidance on their likelihood of success. By providing predictive insight before treatment, the system aims to reduce unnecessary cycles, lower financial burden, and support more informed decision‑making.Physiological Monitoring and Predictive ModelingThe OTO Fertility device performs medical‑grade E