While there are many tools to avoid pregnancy, it feels very balanced towards usually being able to avoid it, but not quite (im sure this is also for a specific fetish). For example, the best contraceptive available in the start of the game is 99% effective only, and its very expensive at 500 gold. But the last straw for me was when I got the severe bad condition that reduces contraceptive effectiveness. Its not absolutely debilitating by any means, but on top of having to spend gold on a bunch of stuff in the game, and worry of other pro pregnancy statuses that I might get going forward makes me want to have a non pregnancy mod to properly enjoy this game.