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.
The OTO Fertility device performs medical‑grade ECG and EEG measurements, capturing data from multiple physiological systems. These include cardiac activity, central and autonomic nervous system responses, hormonal regulation patterns, and energy supply indicators. Dozens of body signals are synthesized into a set of metrics that correlate with fertility outcomes. These metrics are then combined into a single index that reflects the couple's overall fertility readiness.
Both partners participate in the process, allowing the system to evaluate male and female factors independently and together. This dual‑side approach supports a more complete understanding of fertility challenges, including those that may not be detected through traditional testing. The system also supports natural conception by identifying physiological patterns that can be optimized without clinical intervention.
Once the fertility index is generated, the system provides personalized recommendations designed to improve physiological readiness. These recommendations are based on lifestyle factors that influence fertility, including activity levels, rest, recovery, nutrition, sleep, and stress management. The guidance is tailored to each individual and delivered through the accompanying application, creating a structured pathway for improvement.
The use of AI allows the system to adapt recommendations as new data is collected. Daily measurements support continuous monitoring, enabling couples to track progress and understand how their bodies respond to changes. This dynamic approach contrasts with traditional fertility diagnostics, which often rely on static snapshots taken at a single point in time.
The technology also provides insight into previously unexplained fertility challenges. A significant portion of infertility cases fall into the unexplained category, where standard tests show no clear cause. By analyzing physiological patterns across multiple systems, the device offers a new layer of understanding that can help clarify these cases.
The system extends beyond conception, offering support during pregnancy and postpartum. This continuity allows couples to remain engaged with their physiological health throughout the entire fertility journey. The solution is delivered in partnership with treating physicians and virtual clinics, integrating seamlessly into existing care pathways.
OTO Fertility introduces a predictive diagnostic system designed to improve IVF outcomes and support natural conception through physiological monitoring and AI‑driven guidance. By providing insight into fertility readiness, offering personalized recommendations, and addressing both partners' health, the system creates a more informed and supportive pathway for couples seeking to build their families. As fertility challenges continue to rise globally, technologies that deliver clarity, personalization, and noninvasive insight are becoming essential components of modern reproductive care.
Interview by Don Baine, The Gadget Professor.
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