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if her fertility is at 100 she has 100% chance of getting pregnant. The only option that can make her pregnant is the one with the green marker.
Also, did you saw the notification saying she can now get pregnant?

Ye her fertility is at 100% but no i didnt so im rly dumb

you can only get her pregnant at the very end of the patch

...Might be a stupid question but when is the very end of the patch?

you get a notification that she can now get pregnant first and you get a credits scenes when you reach the end of the patch