Katie finds her husband, Dave masturbating and tries to talk to him about their sex life. Katie wants to go to couple counseling, but Dave won't join her.
Jamie's doubts persist, she just doesn't trust Hugo. Palek admits he is frustrated with only having sex to get pregnant and Carolyn admits she went to a fertility specialist. Dave and Katie argue about Katie's therapy sessions. May reaches out to an old acquaintance.
Mason suggests a hangover cure for Jamie, but she can't shake the memory of Hugo. Palek is relieved when he passes the fertility specialist's test, but the two argue again after they learn that one of their friends is pregnant again for a third time. Dave and Katie continue to struggle as they celebrate their anniversary. Meanwhile, Arthur tells May he's talked with John and wants her to meet with him.
Dave joins Kate at therapy and Katie is surprised both by his appearance and by what he has to say. Carolyn tells Palek she had an abortion in college and she makes an appointment for in vitro fertilization. Jamie turns to May for guidance as she struggles with her breakup with Hugo.
Carolyn and Palek prepare for the possibility of pregnancy after her artificial insemination. Carolyn researches pregnancy and Palek deals with his issues with his father.
May suggests that Katie and Dave forget about sex if it's going to ruin their relationship. Carolyn and Palek tell May they are ending their therapy since they are giving up trying to have a baby, but May suggests that they continue with the sessions anyway. Jamie sleeps with Nick and then feels uncomfortable when he takes her to meet his family.
Katie and Dave reconnect a little bit after an evening without the kids. Palek has found a buyer for the house, but Carolyn doesn't want to move that quickly.
Dave and Katie debate the value of continuing therapy and Katie wants to have another baby. Palek worries about what kind of a father he'll be. Nick comes to stay at Jamie's house, but Jamie isn't happy about it.
Unsettling news from her friend Rita sends Katie in a new direction, leaving Dave to handle the household and therapy on his own. Palek finds it difficult to cope with his mounting anxiety, to Carolyn's bewilderment. Jamie decides to be honest with Nick about her feelings, with unanticipated results.
May gets devastating news, but decides not to cancel her therapy appointments. Jamie and Hugo reconnect, for better or for worse. Palek's blunt revelation at May's office shocks Carolyn. Having confronted the crossroads and challenges of their marriage for some time, Dave and Katie finally make a breakthrough.