The chapter shifts away from the Cape Cod vacation into a flashback, as Rocky recalls a recent visit to her doctor to discuss menopause symptoms. Filling out an intake form that asked about her number of pregnancies and live births struck her as needing a trigger warning, hinting at painful reproductive history. Lying on the exam table, she described her worsening symptoms, including a vagina that felt like it was shrinking.

The doctor diagnosed vaginal atrophy, common after menopause, and explained that the thinning tissues were causing painful intercourse. She offered a suppository treatment, but warned that insurance likely wouldn't cover it, and the cost would run about three hundred dollars a month.

From the parking lot, Rocky called her friend Jo, who erupted in characteristic outrage about the cost, the gendered injustice of cheap Viagra versus expensive women's treatments, and the broader indignity of aging bodies. The two riffed darkly and humorously, joking about sending their vaginas to retired police-horse farms, before Jo had to leave to pick up her father from Elder Zumba.

Alone afterward, Rocky stared at the prescription and questioned whether she wanted more interventions pushed into her body. The chapter closes with the haunting echo of the intake form's questions about pregnancies and live births, and Rocky's stark reflection: "Sex has nearly been the death of me."