Columbia University’s STAR (Sperm Tracking and Recovery) platform applied astrophysics-derived algorithms to identify sperm cells missed by conventional microscopy in samples deemed sterile. Processing eight million images in under an hour, STAR detected 44 sperm cells overlooked after extensive manual searches, enabling fertilization that led to a pregnancy scheduled for December. This breakthrough redefines detection limits in male infertility diagnostics and offers hope for cases previously considered untreatable.