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in which naima does not even consider discussing any of her beliefs about pregnancy
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"Well. What, exactly, is supposed to be a miscarriage risk?" 

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"Well, I haven't actually prioritized pressing for exact details, but my impression is that the risk is mostly associated with the possibility of exposing the womb to vigorous motion, so approximately the same mechanism as a blow to the abdomen, but with a lower probability of causing problems in any individual instance because the forces involved are typically, uh, less."

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"Hmm, really? Because I can think of some things that doesn't rule out." 

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Probably, if you are married to a Galtan, it's okay to be terribly curious about whatever it is he knows that they do in Galt.

"Can you."

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Galtans, as it happens, are very creative. He can demonstrate.

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Wow okay yeah this is a better way of handling this problem.

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"Being considerate is stupid," she tells him, solemnly, after they go back to snuggling. "From now on I am bringing all of my mild annoyances to you immediately."

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"I can't promise I'll always have a solution." 

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"I wouldn't expect you to. But I enjoy complaining to sympathetic audiences anyway."

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"Just to be explicit, though, is there still a situation here on your end that it would make sense for me to be concerned about if I were so inclined. Like, assuming I'm not haring off trying to be considerate and accidentally giving you the impression that I am second-guessing marrying you and your suitableness as a father, just with the part of this where it'll be a while before we can sleep together, uh.... normally."

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"...I've spent almost my entire adult life deliberately abstaining from "normal" sex because I was in situations where I believed it was unethical to conceive a child. I think I'll live."

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"My impression is that you were pretty miserable for a lot of that time," she says, but it sounds particularly warm and affectionate. "Not that I particularly think your high ethical standards are - well, I don't think that particular high ethical standard is to blame, I guess it's much more debatable whether your high ethical standards in general were related to the set of actions that - anyway. I guess in theory it would also be okay if you were a little miserable for a while as long as it was for a specific cause that you cared about. But I don't want you to be, you know? Or - I guess I'd like to know. Or at least - "

"I dunno. Just figured I'd check. How about you just also let me know if you're annoyed with things."

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....is he annoyed? His first impulse is obviously not, it's not as if she's asking him to be celibate, and even that wouldn't be a very great hardship for the sake of his child. Of course, in an ideal world – 

He can feel the shape of a thought he doesn't want to think, there. Why? He likes sex. It stands to reason that there's some amount of it he'd prefer to be having. That might not be precisely what Naima wants; in fact, there's no particular reason to believe it would be. 

So far, in his marriage, he's managed to avoid what he's always assumed to be a ground truth of intimate relationships: when one person wins, the other loses. He would very much like to keep it that way. 

"I can try, if – if it's really important to you. If you promise you won't just give me what I want."

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"Oh, I dunno if it's really important, so long as you're not suffering terribly while I'm completely oblivious to it. I will definitely not just give you what you want if it turns out you would prefer to be having normal sex, because, uh, that would be stupid. But, you know, if there were an easy way to offset this hardship and make you feel like it wasn't being ignored, or something. I could do that."

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In that case, it turns out there absolutely are options, and with enough hedging about how he knows things are different in her culture and he would never want Naima to feel any sense of obligation about anything ever, Élie can even be induced to explain them! 

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Things are, in fact, sufficiently different in Naima's culture that there are some things she's heard of and has negative enough associations with that she doesn't, actually, want to do them right off the bat. She's going to hope that saying so is reassuring. And there are other things that Naima thinks sound like pretty good ideas, and that she has enough adventurous spirit to try her hand at.

This talking thing is pretty great. They'll get the hang of it. Eventually.

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