The pentacles suit is so tied to the physical body and material world that reversed court cards there can get genuinely confusing in fertility readings. I feel you on that.
I’ll mention a few cards that don’t always come up in these threads.
The Hanged Man.
This one surprised me. Some readers connect it to pregnancy because of the Odin/Yggdrasil mythology, where he hung from the tree for 9 days. People draw a parallel to 9 months of gestation. Suspension and waiting. Honestly, that’s what trying to conceive feels like half the time. Paired with the Empress, it can point toward a future pregnancy. But on its own, opinions are split. Some readers say they wouldn’t read it as a pregnancy card.
The Moon.
It doesn’t get enough credit either. It can indicate a conception the person isn’t even aware of yet, that whole hidden, mysterious quality. Best to look at surrounding cards though, because on its own it reads more neutral than positive.
The World.
Tends to show up when pregnancy has already happened. Like someone well into their last trimester who doesn’t know, or just as confirmation.
For the minors:
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Ace of Pentacles
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Ace of Cups
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10 of Cups
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6 of Cups
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10 of Pentacles
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4 of Wands
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3 of Cups
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2 of Cups
All can indicate pregnancy (obviously, using Tarot combinations, you need more than just one of those cards in a spread). Then you have more neutral ones like 8 of Wands and Ace of Wands that really need to be in combination with those other cards to point toward anything concrete.