I don't think any of them break up with their girlfriends/wives. But the doctor probably finds out that he doesn't want to do it anymore, because his wife loves him so much, and he her.
Basically, it's a really dark comedy, with the wife who is behind the operation. She allows the men to think that they are able to get away with cheating, but stops them before they actually complete the act.
As the previous poster said above, it's all a game that the wife feels the need to perpetuate. A darker connotation is probably that we all need a certain amount of lying and pretending to make a relationship work, and that the wife chooses to continue playing.
"I don't know about what happened. . . because once you start writing, it all becomes fiction."
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