Fresh off the season 9 trailer for ‘The Real Housewives of Atlanta‘ now Bravo has also dished out the trailer for season 4 of our other fave ‘Married To Medicine.’ After a lengthy hiatus, the ladies are back, get into the trailer and details from the new season below.

Some of the ladies are toasting to new beginnings as Lisa Nicole Cloud is ready to embark on motherhood again. “These eggs are ready to be fertilized,” she says. Meanwhile, Toya Bush-Harris is facing a “financial crisis.” And the women are learning that having it all isn’t always easy as they tackle rocky romances and intense family turmoil. For some, career will always be a priority. “Being a doctor is a huge responsibility,” Dr. Jacqueline Walters reveals. “You’re the next person in line after God.”

But don’t think that getting to the top of this heap won’t be without some shade. “Quadwas never built to be a damn queen bee,” Mariah Huq shares. “She don’t even know how to wear the crown.”

Catch the Season 4 premiere of Married to Medicine when it airs on Sunday, November 6 at 9/8c.