Sex with hands will not lead to pregnancy. The prerequisite for pregnancy is that a man and a woman have a substantial sexual relationship, the man needs to insert his penis into the woman’s vagina and successfully ejaculate inside her body, and the sperm and the egg meet in the fallopian tubes and combine to form a fertilized egg, which is successfully fertilized in the uterus. So, if you simply have sex with your hands and no semen enters the woman’s vagina, it won’t lead to pregnancy. However, it should be noted that when making love with your hands, you must pay attention to the hygiene and cleanliness of your hands to avoid causing vaginal inflammation.