Will there be an option for pregnancy? MC just pumps cum inside Esther daily, we don't even see her take a pill.
I've left it out of the scope for now. She's a medical worker, she knows what's up.
Plus it's a "nearest future", so things are as you imagine them to be.
Pregnancy is complicated. It can play a major role in certain genres, like NTR or mind-break winner-loser scenarios.
In general games though: some find impregnating a girl as an option fucking hot (including me), others freak out and find it unnecessary.
And it's hard to build a story for everyone, that includes every option. And I know very few games, where the pregnancy was done somewhat right. And none, where it's not lazy "here's our magic to fasten the process to 2 days, now we take your kid, you go play further."
As an endgame - yes, possible, as a game-play (lol, there's none right now anyway) - most likely no.