I made this card a few years ago, but never posted it. It finally got put to use last week, so now I'm getting it up.
The male, female, and heart are stamped on the inside of the card so that it peeks through the circle cut out of the front. I masked off part of the front so that I could stamp the floral background (I think it is Hero Arts). I heat embossed a tag stamp on the front with silver powder, and then hand-cut the middle out. The sentiment is from Papertrey Ink, and I also heat embossed that with silver powder.