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At 81 years old, is he finally ready to be a daddy…again? Sources say Hugh Hefner was spotted accompanying 28 year old girlfriend Holly Madison to her gynecologist’s office. The doctor specializes in in vitro fertilization.

The Playboy founder already has four children with two former wives. Holly has let it be known that she would like to have children with Hef. She says, “I want to have kids with Hef in the next year or so. When that happens, I just want it to be me and him.” Right now they share the mansion with his two other girlfriends, Kendra Wilkinson and Bridget Marquardt.

It was rumored that she might already be pregnant with his child when the group recently went to Monaco. While on the trip, Holly shied away from alcohol and wore outfits that were abnormally concealing. Her rep says, “Holly is not pregnant, although she would like to be in the near future.”