When Carla begins to feel old, she drags her friends to a college club and decides to take a fertility test, among other things. And while all of J.D.'s friends love Julie, they begin to worry that J.D. is going to ruin the relationship after he begins saying his thoughts aloud.
- Brick Joke: As part of faking sex, J.D. tells Julia they have to hit a gong, a tradition he shares with Turk. Turk later does this when doing it with Carla.
- Bullying a Dragon: Janitor deliberately antagonizes Carla by calling Nurse Martinez "a young Carla".
- The Cameo: Billy Dee Williams is another celebrity to get an over five.
- Catholic School Girls Rule: Jordan shows up to her seventh pap smear with Dr. Matthews in pigtails and a plaid skirt.
- Character Development: JD sits down and moves past his stupid fixation, willing to move forward with Julie. Only then he learns that he and she are at very different points in their lives, with her being about seven years younger than him... and breaks up with her for a good reason.
- Differing Priorities Breakup: An innocent question from Julie sends JD down an imaginative path about their future together, including moving onto their new half acre, getting married, having kids... but she was just asking about dinner.JD: So you never think about that kind of thing?
Julie: Not really, I mean, I'm only 23... - Disproportionate Retribution: Carla mistakes Janitor for 45 instead of 43, so he sends her into a spiral over her age by calling Nurse Martinez "young Carla".
- Gaussian Girl: Matthews is introduced with a chorus of angels, a bright light, and a light breeze on multiple occasion.
- Mr. Fanservice: The new gynecologist, Dr Matthews, is incredibly gorgeous.
- Ms. Fanservice: The new nurse, Martinez, is gorgeous, like the new doctor.
- Staging an Intervention: Everyone sits JD down and explains to him that he has a tendency to focus on trivial bullshit and ruin his relationships.
- What the Hell, Hero?: Everyone calls JD out for making Julie cry thanks to a stupid fixation
