This was a continuation of a song "Confessions Part I," which describes a one night stand. In this song Usher now has to admit to his girlfriend that the lady he cheated with has just told him she's pregnant. "Confessions Part I" was ultimately left off the Confessions album, though it's included on its special edition release.
In the United Kingdom this was released as a Double A-side with "My Boo."
There were rumors that the Confessions album was mainly about Usher's break-up with Rozonda 'Chilli' Thomas from TLC, and that in this song Usher was confessing that his infidelity was the cause of their relationship ending. However Usher has denied this and has said that this song was inspired by friends' similar experiences. Later, co-writer and producer Jermaine Dupri claimed to MTV News that Usher's album was about his own "cheating on my steady girlfriend, having a baby with that other woman and having to confess to everything that happened to my main girl."
In an email to MTV News Usher wrote: "I didn't have a baby with another woman although a lot of people thought that was the case when they listened to the album for the first time. That song was not personally about me."
The Confessions album sold 1.1 million copies in America in its first week - the biggest first week sale for an R&B act. It was the biggest selling album in America in 2004 selling over 5 million copies. Confessions eventually became the second biggest selling album in the States by a solo male act after Garth Brooks' Ropin' The Wind.
Confessions spent nine weeks on top of the Billboard album chart in 2004, making it the longest-running #1 album of the 21st century.
Rozonda "Chili" Thomas said of Confessions on VH1's Behind The Music: Usher program: "I hated the album. You know, because I just, I hated what it stood for. I hated that it was blowing up because people were thinking that 'Oh my God, this is all about their relationship,' it was just too much. It was too much for me to handle."