My Sim got married and of course, they want kids. So I made them bump uglies. About twenty times in the bed and about ten times in a photo booth I unconventionally placed in the middle of the bedroom. Nothing happened. I didn't hear the music and even now, they can still try for a baby. BUT I cannot edit her in CAS and she vomited from "unknown causes." I'm thinking she got knocked up; I guess I just have to wait to know for sure. Unless any Sim has ever failed to conceive, I have never not heard the music.
Be safe.
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Edit: For once my Sims both want a boy. Finally.
That happened, too. But it's happened to Sims that hadn't even had their first kiss yet, so I was unsure.
Using MasterController, there is an option for status when clicking on a sim. If you click I believe it’s Relationship Status, you should get a pop up. If your sim is pregnant, that pop up will tell you, along with the chance of twins or triplets (or quadruplets but that’s not a vanilla feature so I’m not sure why that’s there. It always stays at 0%) I think it can also tell you the gender, but I’m not sure if it will tell you if you’re having multiple babies and some are boy(s) with some girl(s).