He’s French Toast

The gist of it is, “I thought you were on the pill?” “No, but it’s you who will take it” and then “And to think we will do it again in nine months.

Why is this guy smiling? My theory is that what she does NOT know, is that he has had a vasectomy.

I would love to see what someone wrote on the back, but French Cursive renders me Les Incompétents.