In Partnership with Pacific Northwest Fertility

Decode Your Body's Signals.
Get Pregnant Faster.

OTO Fertility is more than a wearable fertility tracker. It decodes your stress and recovery periods to give you science-backed clarity that can help you take more control of your Path to Parenthood™.

OTO Fertility App

Trusted by leading research institutions

Harvard Stanford McMaster Queen's UCSF Calgary ULB
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Biological signals captured
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Daily assessment time
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Conception rate in Optimal Zone
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Years of science
What OTO Fertility Measures
In just four minutes each morning, OTO captures over 50 biological signals. Those signals feed into your Fertility Index, a longitudinal trend metric that shows how ready your body is for conception over time.
OTO Fertility Kit, chest strap sensor, carrying case, and mobile app

Brain & Central Nervous System

Via DC-EEG, OTO captures your brain's energy state and CNS readiness, a window into how your body is regulating stress and recovery that no other device provides.

ECG, Cardiac Function & HRV

Clinical-grade electrocardiography captures cardiac function, heart rate variability, cardiac readiness, and recovery state. HRV is a critical marker for assessing reproductive health and how stress is affecting your system.

Energy System

Calculated from the AFA of your ECG, this gives direct insight into your metabolic pathways and how your body is supporting energy production, which ties directly into oocyte development and reproductive function.

Why OTO’s HRV is different

Most consumer wearables calculate HRV from optical pulsometry, a method with known accuracy issues that degrade further with individual skin pigmentation. OTO calculates HRV directly from ECG, delivering the clinical-grade accuracy your fertility team needs to make real decisions.

What OTO Tracks, and Why It Matters for Reproductive Health

OTO Measurement
Physiological Signal
Relevance to Reproductive Health
DC-EEG
Brain energy state, CNS readiness
Regulates stress response and hormonal cascade; sustained CNS stress suppresses HPA-axis function and disrupts ovulation.
HRV (from ECG)
Autonomic balance, cardiac readiness
Lower HRV is linked to elevated stress load and reduced conception rates; higher HRV correlates with improved fertility outcomes.
ECG
Cardiac function, recovery state
Informs recovery quality and cumulative load, both foundational to endometrial receptivity and cycle regularity.
Energy System
Metabolic pathway efficiency
Direct window into cellular energy production, critical for oocyte quality, follicular development, and implantation.
Your Path to Parenthood™ in 5 Steps
1

Order Your OTO Kit

Get your OTO Fertility System and access to the OTO Life app, everything you need to begin.

2

Register & Set Up

Activate your device, create your profile, and connect with your Pacific Northwest Fertility care team for a personalized plan.

3

Assess Each Morning

In just four minutes, OTO captures over 50 biological signals, feeding into your Fertility Index, which updates every 5 assessments.

4

Follow Your AAP

OTO delivers a personalized Adaptive Activity Plan, based on your body's unique biomarkers. These activities are clinically proven to optimize and improve your biological signals.

5

Track & Optimize

Your Fertility Index helps you and your care team monitor stress response and recovery, offering clear guidance to improve your chances.

The Fertility Index

Your Fertility Index is a longitudinal trend metric built from your brain, nervous system, and cardiac data. It updates every 5 assessments, so the number you see reflects a real trend, not day-to-day noise, and tells you and your care team how ready your body is for conception.

OTO uses three readiness zones to guide your journey. Patients who reach the Optimal Zone have seen up to an 85% conception rate.

Moving toward the Optimal Zone isn’t left to chance. Each day, OTO delivers an Adaptive Activity Plan personalized to your current readiness, the recovery, nutrition, and lifestyle steps that are essential to optimizing and improving your biological signals over time.

Recovery

Body is recovering, rest and restore

Preparation

Building toward readiness

Optimal

Peak fertility window

Fertility Index Tracker

0 40 70 100 Week 1 Week 4 Week 8 Week 12 Week 16 89 47 Optimal
Jackie M.
Patient Story
Jackie M.
After two failed transfers, Jackie started using OTO while preparing for another round of IVF. Over a 60-day period, she saw significant improvement in her biological signals, and she now sits consistently in the Optimal Zone of the Fertility Index, going into her next transfer with clear, data-backed evidence that her body is ready.
Families Built with OTO Fertility

After two years of trying, OTO helped us conceive in just six months. Today, we’re holding our healthy baby girl.

Emily & James

OTO was easy to use and follow. After having trouble conceiving and keeping a healthy pregnancy, we tried OTO Fertility, got pregnant and had our baby this year. This changed our lives.

Riku, 28

OTO Fertility has given me an element of control back. It allows me to see how my body is responding and has removed the uncertainty and questions of ‘could I do more?’

Brittany, 33

OTO Fertility helped me manage my stress and kept me on track. It kept me focused on my goals and was routine when everything else was up in the air.

Elisa, 33
Start Your Journey
Predictive Insight for Every
Path to Parenthood™

Ask your Pacific Northwest Fertility care team how OTO Fertility helps decode your stress biology to optimize your chances of conception.

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