When a waitress flirts with Riley at Fran's birthday dinner, adding she can see where Josh got his good looks, Fran is down and gets nightmares about all the Reeves family being ancient, fat and ugly, only Ryan still seems a young god at 70. When Riley gets her to see a gynecologist, the verdict is a hysterectomy, which stops her PMS, even if it starts menopause. Ted does the operation which goes well, everyone is at her bedside, but after a nightmare about Riley wasting his young life to take care of her, she breaks up unilaterally, pretending he now makes her feel old.