Dr. House consults with a woman who believed she was pregnant without having had sex, leading to a diagnosis of a sleep disorder.

• The woman is insistent about not having had sex, prompting Dr. House to suggest an Immaculate Conception.
• Dr. House jokes about starting a religion, then moves on to serious suggestions, including testing for date rape drugs.
• The woman's hormone levels indicate a miscarriage, leading to further investigation of her claim.
• Dr. House's eventual diagnosis points to a sleep disorder involving unconscious sexual activity.

Dr. House examines a case of unexplained bruising and hormone imbalance.

• The patient presents with bruising that prompts a discussion about potential causes, such as leukemia or hickeys.
• Dr. House dismisses the hickey suggestion and explores more serious explanations for the hormonal imbalance.
• The dialogue reflects the patient's discomfort with discussing sexual activity, which Dr. House addresses directly.

Findings from a sleep lab lead to the discovery of sexsomnia.

• The sleep lab results indicate partial sleep arousal, commonly known as sleepwalking.
• Dr. House connects the sleepwalking to the patient's unexplained pregnancy, suggesting sexsomnia.
• Upon learning her ex-husband lives downstairs, the patient faces the realization that she has been unknowingly engaging in sexual activity with him.

Dr. House deals with a case of self-performed circumcision and a birth control consultation.

• A patient attempts self-circumcision, leading Dr. House to refer him to a plastic surgeon for proper care.
• Another patient seeks Depo Provera for birth control, but Dr. House warns of the high dose's chemical castration effect.
• The chapter showcases Dr. House's ability to handle sensitive topics with a mix of humor and directness.

A patient with an unusual attraction to cows and another with a mysterious injury are examined.

• One patient expresses a deep, poetic love for cows, which Dr. House treats with skepticism and a placebo.
• Another patient presents with a leg injury possibly caused by a snake bite, leading to a discussion on the type of snake and treatment.

Dr. House navigates complex family dynamics and the ethics of treatment.

• A young man requests medication to curb his attraction to his stepmother, highlighting ethical dilemmas in prescribing.
• Another patient's leg pain leads to a broader family medical history discussion, emphasizing the importance of comprehensive diagnosis.

Dr. House diagnoses a snake bite and addresses sexual health concerns of elderly patients.

• The snake bite case is resolved with proper identification of the snake species and the administration of anti-venom.
• Dr. House also counsels elderly patients on their sexual health, providing both medical and personal advice.

Intimate issues between an elderly couple are investigated, with medication playing a significant role.

• An elderly woman seeks help for excessive sexual activity caused by her husband's medication, leading to a discussion on the impact of male enhancement drugs.
• Dr. House confronts the ethical quandary of deceiving the husband with a placebo to reduce his libido.

Dr. House deals with youthful indiscretions and the concerns of a worried parent.

• A young man seeks medication to manage his libido, while his father faces his own sexual health issues.
• The chapter highlights the generational differences in approaches to sex and the complexities of Dr. House's patient relationships.

A farmer with unexplained illness and injuries from agricultural work is examined.

• Dr. House explores possible causes for the farmer's leg pain, ranging from bone cancer to vascular issues.
• The discussion touches on the need for various diagnostic tests, including MRI and PET scans, to pinpoint the problem.

Dr. House encounters romantic complications and medical misunderstandings.

• A man's infatuation with a cow leads to a humorous exchange about his injury and potential psychological issues.
• The chapter demonstrates Dr. House's ability to differentiate between genuine medical conditions and patients' misconceptions.

A patient with inflammatory bowel disease is prescribed an unconventional treatment.

• Dr. House prescribes cigarette smoking as a counterintuitive but effective treatment for the patient's condition.
• The prescription sparks a debate on the risks and benefits of such a controversial treatment approach.

A woman with prenatal concerns faces a misdiagnosis.

• A patient mistakenly believes she has heartburn, while Dr. House suspects a pregnancy despite her objections.
• The interaction underscores the importance of thorough medical evaluation and the challenges of self-diagnosis.

A patient with a benign tumor faces a dilemma over cosmetic surgery.

• Dr. House informs the patient of a large benign tumor, leading to a discussion about the necessity and impact of surgical removal.
• The patient grapples with the prospect of a significant scar and the effect on her self-image and relationships.

Dr. House addresses unconventional relationships and social taboos.

• A young man struggles with his attraction to his stepmother, while another patient deals with the repercussions of infidelity.
• Dr. House's approach to these sensitive issues showcases his candor and willingness to confront societal norms.

Dr. House faces ethical boundaries related to the age of consent.

• A young woman expresses her attraction to Dr. House, leading to a discussion about the age of consent and ethical guidelines.
• The conversation highlights the complexities of patient-doctor relationships and the importance of maintaining professional boundaries.

A vegan patient's infidelity is revealed through a medical examination.

• Dr. House deduces that the patient has been cheating on his vegan partner by analyzing his symptoms and dietary habits.
• The chapter underscores Dr. House's diagnostic acumen and the unexpected ways medical signs can reveal personal secrets.

A patient's cosmetic enhancements lead to medical concerns.

• A woman's breast implants raise questions about their potential impact on her health symptoms.
• Dr. House navigates the delicate conversation about the interplay between cosmetic procedures and medical issues.

An elderly woman's syphilis diagnosis leads to revelations about her historical romance.

• The patient's positive syphilis test sparks a discussion about her past and a prom night encounter.
• Dr. House's treatment plan offers a cure while respecting the patient's desire to retain her renewed sense of youth and sexuality.

A patient's respiratory distress leads to an unexpected discovery.

• Dr. House examines a patient with shortness of breath and tightness, possibly due to anemia.
• Upon further examination, Dr. House makes a startling discovery related to the patient's cosmetic surgery.