She had no mother to tell her these things; Delia had died long before Zelda was even remotely interested in boys, and shortly before, even, she had gotten her monthlies. The monthlies were, she was told, a sign of womanhood - they meant that you could have kids if you interacted with a man in that way. If your monthlies didn't arrive, that meant that you were pregnant. But the thing was - and the Hogwarts nurse had explained this to Zelda - your monthlies usually weren't regular until you were older.

Zelda's had always been sporadic, arriving seemingly as they pleased with long delays, and until now she had never had any reason to be worried about it. But then Mr. Darrow had mentioned trouble in his letter, and as the weeks passed knowledge of the risk hit Zelda like a sudden freight train: if she was pregnant, she would lose everything. Never mind her job and possibly her dignity; she would lose her family, too.

And Fisks were very fertile.

"I don't know," Zelda said, in that same small voice, "I don't know. That's sort of why I'm here."

This was why it had come down to Ari vs. Roslyn: Ros definitely knew how to tell when you were pregnant, but Ari was a healer, and was not, again, married to the Minister of magic.

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   Aldous Crouch