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Identical twins Tiesha & Dienesha discover that they really are meant to do everything together. Kateka and Stu pray for a positive pregnancy test, and a startling diagnosis complicates Alexa and Jon's plan to start a family.
After more than a decade of infertilty, Kateka and Stu attempt their last round of IVF. Charisse, who lives with Cerebral Palsy, makes a big announcement with husband David, while Patrishia and Don face pregnancy complications after miscarriage.
Rebekah and Micah confront his lifethreatening illness while preparing for parenthood. Patrishia worries about Don's reaction when her doctor bans them from having sex. Charisse falls while pregnant.