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At the end of the last season, Alex found out that she's pregnant. In this episode, Alex shares that she had a miscarriage, but doesn't want to talk about it with anyone, including her boyfriend Derek. We learn in a flashback that she had an abortion. We see her in a hospital operating room with an oxygen mask over her face, and she says, "I can't believe I'm having an abortion." A heart monitor beeps in the background, and a medical professional counts backwards from 10. 

In a later episode, in the midst of breaking up, Alex confesses to Derek that she had an abortion. He says that he is angry that she lied, and that he would have supported her.

Keywords: Past abortion, abortion provider.