After 18 years of failed fertility treatments, one couple is finally expecting thanks to AI that found three viable sperm in a sample doctors would have considered unusable. This breakthrough represents more than one family's miracle; it signals how artificial intelligence is revolutionizing IVF after decades of stagnant 30% success rates. AI algorithms now predict embryo viability with "surprising accuracy," personalize treatment protocols, and standardize care that once depended entirely on physician experience and luck. But this revolution raises critical equity questions: will AI democratize access to expert-level fertility care, or will expensive new technologies further divide patients into haves and have-nots? The answer depends on how we choose to develop and deploy these powerful tools; ensuring they serve all families building their futures, not just those who can afford the most advanced care