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Any entrance of semen into a woman's vagina can cause pregnancy. The most common method of getting pregnant is sex; a form of intercourse where a man inserts his penis into a woman's vagina and ejaculates. Pregnancy however, can occur in other instances, such as with the help from a semen donor (if, for example, the male was impotent) or if semen from pre-ejaculation is on the surface of the vagina (although this is very rare).

So, in a shorter answer, two people usually have to have sex to get pregnant.

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