Fucking A is inspired by the novel The Scarlet Letter, written by Nathaniel Hawthorne in 1850. Fucking A shares several similarities with this work; both of the main characters are named Hester and are strong females with an unwavering love for their illegitimate child. Both Hesters also bear the letter “A” as a symbol of how society defines them: the modern Hester is an abortionist, the original is branded for adultery.