Can pregnancy occur if you pull out during ejaculation?

Patient's question:

During sex, if a condom wasn't used and was pulled out right after ejaculation, there might still be a little pre-ejaculate fluid left inside!!
Is it possible to get pregnant in this situation?
If yes, what impact would a small amount of pre-ejaculate fluid have on the quality of the fetus?
Additional question: My urethral opening often feels itchy, but when I had a check-up and lab tests at the county hospital, everything came back normal. Could this be hereditary?

Doctor's answer:

Although there is no intravaginal ejaculation, it is still impossible to avoid pre-ejaculate fluid entering the vagina. If you happen to be in your fertile window, there is still a certain possibility of pregnancy.

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