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In a romantic moment, Donna presents Eric with a ring, much like the promise ring that he gave her, and caused their break up.  For Donna, the ring symbolizes their enduring love and committment; for Eric, it symbolizes ugliness.  To protect Donna's feelings, he decides not to say anything, but the secret gains a life of its own.  Kitty is determined not to let menopause affect her life, but has a hard time living up to her committment.