I've got three kids. I had one with the birth control pill, one with a diaphragm, and another with the IUD. I don't know what happened to my IUD, but I have my suspicions. That kid picks up HBO.

Barr’s joke uses shock and domestic specificity to satirize the gap between the promise of contraceptive technology and the messy realities of sex, bodies, and chance. By attributing each child to a different method, she turns private reproductive anxiety into public comedy, then escalates with the punchline that the “missing” IUD has somehow become the child—explained by the child’s ability to “pick up HBO,” a sly nod to premium cable as a marker of adult content and cultural permissiveness. The humor depends on taboo-breaking candor, working-class frankness, and the stand-up tradition of converting embarrassment and fear into defiant laughter.