Now I know that the medical happenings in this may not be completely accurate but we're calling that author's creative license because without it there is no story.
While he wouldn't admit it out loud, after everything that had happened this past year, Puck was kind of glad that his mother had sent him to live with his nana for the summer. He was less glad that he was being forced to see a counselor twice a week but it had helped him deal with the loss of Beth. Of course, she was perfectly fine, he was sure, but she wasn't his and deep down he had wanted to keep her. It had been Quinn's decision though so now some people out there somewhere were raising his daughter.
Dr. Monroe was kind of awesome. She let him just talk about whatever, didn't yell at him for cursing or anything. It was just another session when the door barged open and some chick ran in in tears. Quickly the secretary followed after apologizing profusely but Puck didn't need to be told that his time was up for the day. Clearly, this chick needed the help more than he did.
Still, there was something about just how distraught she had seemed that made Puck do something that wasn't him and he headed down the block to the bakery, picking up a large brownie before waiting outside the therapist's office.
P&R
Rachel Berry had never grown up with a mother. Don't get her wrong, she loved her daddies more than anything. They had always gone out of their way to make sure that she had never wanted for anything and that she had every opportunity possible. Still, never having that bond with someone had left a hole deep inside her. While she didn't speak of it often, Rachel wanted nothing more than to have her own children someday. She wanted to know what it was like to have something that she had created growing and kicking and moving inside of her, for someone to look like her and take after her. For most of her life, this desire had remained hidden under her love for Broadway and performing. While she had no doubt that she would be a star someday, she wanted to be that role model that other girls looked up to when they wanted to have it all.
That was why she had been completely wrecked by her visit to the doctor's today. There was a growth in her uterus, and while the doctors had tested it and found that it wasn't cancerous, the news was still grim. It had gotten much larger over the last few months and soon it would require surgery. The problem was that it was too dangerous to just remove the growth, the doctors would have to perform a hysterectomy preventing Rachel from ever being able to have children of her own. Completely heartbroken, Rachel asked if there was any other way in which her doctor responded that there was just one. If Rachel was to get pregnant within the next few months, the change in hormones would likely cause the mass to shrink and disappear as the pregnancy progressed. She would be able to have her babies in the future but she would have to go through the stigma and difficult decision of a teenage pregnancy.
Seeing as Rachel had never had a real relationship, she wasn't the type for one-night stands and her daddies would never approve of in vitro, Rachel didn't see any way possible to avoid the surgery and the loss of her most instinctive desire. Without even calling, she headed from the doctors to her therapist's bursting through the doors a complete wreck. Even as she attempted to talk and mostly cried, Rachel felt completely helpless. For the first time in her life, it felt like she had no control over her future and that wasn't a pleasant feeling.