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(Minnie, I added you to provide support for your points using the links to medical procedures below)
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First, as has been stated by other members, not all sex leads to pregnancy. That's because a woman is not always "ripe" for pregancy. A woman is well-aware of her monthly cycle and can pretty much avoid sex when she is at greatest risk of unwanted pregnancy. Remember, the woman is in control of whether to have sex or not...
No, a woman is not always aware of her monthy cycle.
Some women , especially those who do not have regular periods ( women with PCOS for example) have no idea when ovulation occurs/will occur.
If you don't have regular cycles or have recently been on hormonal birth control, you may have trouble knowing when you ovulate. The day you ovulate during your monthly cycle is unique to each woman, and it can vary from month to month, even when everything is normal.
Discovery Health "Can you get pregnant any time in your monthly cycle?"