I am an older mommy of a toddler, who also has two teenagers. I think Cary's advice could be good, with the right father, but I just wanted to note a few things about being an older parent.

LW's experience of parenthood with her two children was most likely skewed by the hardship and conflict she experience with their father. There's no comparison between that experience and the experience of sharing in the joy of being a parent with a spouse who respects and nurtures you as well as the child.

I really concur with some of the posters who advocated that LW write down what her goals are, what she wants, and how she plans to achieve them, so that she can take them to her husband with the message: Are these goals even possible with another child? What are YOU going to do so that I can meet them even if we have this baby? The more concretely focused the conversation is, the more likely it is that they can find agreement. For instance, it's just possible that if the husband realizes that he will have to retire early and stay home in order to be fair to his wife, he will change his mind.

I know lots of fathers who are primary caregivers to their children, but there are lots of men who can't or won't do it.

And as for being a parent for the next 18 years -- I do sympathize! But I always stop myself when I realize that, first, I am going to be 18 years older (or not) no matter what, second, I live life in chunks not 18 year blocks, and third, it is possible to do a lot with children, especially if you are supported in your goals by your spouse.

I won't presume tell LW what she should do, but I think she should consider all the possibilities so that when she does make the awful trade off between her goals and her husband's, she will be convinced it was the right thing to do, and will not be plagued by what ifs. I wish her the best of luck.

First, the "grazing" at issue is likely to be grazing by a man outside of his marriage, involving a younger female, often a prostitute, and often because the female involved has no other means of support.

Second, the status of women in Africa, in many places, is very low, but the freedom to stray seems low on the list of the most pressing concerns. Support African women through feminist NGOs headed by African women who understand the concerns of their sisters and are trying to raise their status in ways that we can't even imagine the need for.

I am deeply skeptical about the utility of circumcision, but that's probably my western point of view: we don't need circumcision because our public health measures make it a subsidiary precaution, at most.

I am definitely going to read this book.

What a sad story. My sister and father were both helped by psychiatric medications, so I know that medications are sometimes the right course of treatment. What is saddest and frankly, rather frightening, is that by overprescribing and misdiagnosing (or diagnosing too cavalierly) and engaging in flagrantly conflicted behavior, psychiatrists are providing their patients, already notoriously resistant to treatment, with good excuses to reject even appropriate medical treatment. And neither Salon nor the author of this story should be faulted for publicizing the truth. Responsibility for distrust of medications falls squarely on the professionals who prescribe them without adhering to minimal notions of professional independence.

Every medical student should be required to read an annotated version of George Eliot's Middlemarch, which was essentially the story of a doctor in the mid-19th century. Doctors were never compensated for their services and made money only from selling medications or other items -- and the best a doctor could do was to make sure that what they sold was harmless. Otherwise they earned nothing from their profession. It took enormous effort to convince society at large that it was better to compensate physicians for their services, because advice untainted by the need to hawk products was most likely to be in the patient's best interest. It is so sad to see so many doctors selling out their professional integrity.

I like Miss Manners' take on weddings -- think of it as the most formal party you will ever throw, keeping it in the style of entertaining you do best and focusing on the enjoyment of your guests rather than the glorification of the bridal couple. I like to think my wedding followed these precepts and I've been to weddings that clearly have. So ditch the pumpkin limo and buy more champagne if you must spend the money. But it's nutty to start your life in debt, and it's hardly insurance against divorce. The minister of my husband's church has told me that he has counseled many couples whose wedding debts quickly undermined their relationship.