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Males don't get pregnant.

Once a month is not often enough to clean his tank. For a 1 gal. tank, you can use a turkey baster to suction out the poop and leftover food from the bottom. I think you'd need to do 25% water changes 2X a week. Someone else with more experience will chime in, I'm sure. If you keep a gallon jug of water ready (meaning with the lid off so it can go stale) -- you can even put the conditioner in it, then it will take less than 5 minutes to clean the tank.

I've no experience about what's happening to him right now. Might want to try Betta Fix. There's another betta medicine ... Betta Rescue, maybe? I don't remember. It's blue. That might help as well.

Good luck and let us know what happens.
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