Also known as: Hardening of the foreskin
Josh is diagnosed with phimosis and instructed to masturbate five times a week as part of his treatment. This serves as a brief comedic medical case in the episode.
Also known as: Twisted testicle
During his date with Kim, J.D. suffers a potential testicular injury from bareback horseback riding. Kim examines him for testicular torsion, warning he could lose a testicle if not treated, which disrupts their romantic first date.
Also known as: Unplanned pregnancy
Carla's pregnancy is central to the episode, with a baby shower held in her honor. She experiences typical pregnancy symptoms including nausea, exhaustion, and breast enlargement throughout the episode.
Also known as: Unplanned pregnancy
Jordan discovers she is pregnant again after Dr. Cox's vasectomy failed. This revelation drives a major subplot about their concerns over having another child and creates significant conflict in the episode.
Also known as: Unplanned pregnancy
The episode ends with Kim's dramatic revelation that she is pregnant with J.D.'s child, serving as a major cliffhanger and plot development that will drive future storylines.
Also known as: Failed vasectomy
Dr. Cox's vasectomy (actually two vasectomies) failed to prevent pregnancy, which he notes is not uncommon. This failed procedure leads to Jordan's unexpected pregnancy and creates significant emotional conflict for the couple.