Repeat breeding is when a cow fails to conceive after at least 3 consecutive inseminations or natural services despite having normal estrous cycles and no clinical abnormalities. It can be caused by fertilization failure in around 15-28% of cases or early embryonic death in around 25% of cases. Main contributing factors include genetics, artificial insemination techniques, the environment, uterine infections, ovarian function, and chromosomal abnormalities in the embryo. Treatment focuses on improving nutrition, using high quality semen, appropriate timing of AI, and addressing any infections present. Prevention emphasizes proper heat detection, insemination timing, minimizing stress, and only breeding healthy animals.