"I started wearing, like, tight pants, tight shirts," Ashley says. "I always wanted to hang around boys. My mom didn't talk to me about sex until she found out I did it. That was, like, when I was 13."
"Ashley and I fight about her having sex, her respect, her honesty, her lies. We pretty much fight about every single thing," Pam says. "She snuck out of the house to have sex, not once but several times."
"I have only had sex with, like, three boys now," Ashley says.
Her mother thinks differently. "There have been at least six boys that I know of that Ashley has had sex with," she says.
"The first boy I had sex with was 19 years old," Ashley explains.
"I found out that they did it right here in my own house, and she did it behind a store with him," Pam says.
"The second guy was when, I'm trying to think. I can't remember when that one was," Ashley says.
"The last time I had sex was on the family vacation," Ashley says. "That was maybe almost two months ago now. We ended up having unprotected sex. I think that there could be a chance that I could be pregnant."
"Her body is a 14-year-old body. It's not ready to be pregnant, to have a child. She's a child. It just crushes me," Pam says.
"If I am pregnant, I would like to keep it, but I guess I would have to put it up for adoption," Ashley says.
"I hope to God she's not pregnant, but on the other hand, I need to prepare myself in case she is," Pam says.
"I had no clue Ashley was having sex until one of her friends and her had an argument, and
"Yeah, 19 years old," Dr. Phil notes. "And you don't think that everything you know is everything there is to know, do you?"
"No," she says. "I believe there is more to the stories than what she's told me because she won't tell me everything she's doing."
"You say that you had the sex talk," Dr. Phil says to Pam, then turns to Ashley. "And you say, â€˜No, we didn't.'"
"No," Ashley says.
"Do you feel that you can talk to her about this stuff?" Dr. Phil asks Ashley. "You're obviously hiding it for some reason."
"I can talk to my mom about stuff, but she'll just sit there and just start going crazy about it though," she says.
"It's OK," she says. "It's just, when it comes to sex, she can't sit still. She'll just start going crazy about it."
"Because I think, on the subject of sex, on the subject about most things, it's not about preaching. I think it's about teaching, and it's mostly about understanding," Dr. Chirban tells Pam, "and I think when the child has issues of concern or anxiety, if they're feeling that they're going to be attacked or criticized, they're not going to be able to open up about what's going on. I do feel that a lot of sexuality is about a yearning for a connection."
"But yet you got pressured into it anyway? Because what did he tell you? â€˜I can't hang out with you because' why?" Dr. Phil asks.
"I'm a virgin. That's what he said to me."
"So we've got a 19-year-old telling a 14-year-old, â€˜I can't hang out with you because you're a virgin.' And so you thought, â€˜Well, I want to hang out, so therefore I'll do this.' How do you feel about that now?"
"I wish I would never have done that," Ashley says.
"I was 21 years old, a single mom, when I had her. She knew how hard it was for me to raise her, and I don't want her to go through the battles that I had to go through," Pam says.
"When sex becomes a conversation about the Do Nots, or it's predominately around negatives, I don't think we do justice to our children, to our own sexuality, or the subject at all," Dr. Chirban says.
Outside the doctor's office, Ashley says, "Right now, I'm really kind of nervous."
"Ashley has had nausea, Ashley has been complaining of her stomach hurting, Ashley has been gaining weight," Pam says.
"If I am pregnant, I wouldn't be able to get a car," Ashley says. "I wouldn't be able to hang out with any of my friends. I probably wouldn't be able to get through high school all the way because I would always have to have a job to take care of a kid at the same time. That'd be really hard, and then college probably wouldn't even be there for me."
"I would be really happy because I could do more things," she says.
"Get a second chance?"
"Pretty much, yeah," she says.
Dr. Phil turns to Dr. Masterson. "Is Ashley pregnant?"
"I have great news. Ashley, you are not pregnant," Dr. Masterson says.
Ashley smiles and takes a deep breath.
Dr. Phil tells her, "You dodged this bullet ... Given a second chance, what are you going to do differently?"
"I'm not going to have sex anymore," Ashley says.
"I think that with this second opportunity, working on improving their relationship is key," Dr. Chirban says.
Dr. Phil tells Ashley, "Sexuality is a natural thing, it's a positive thing, it's a good thing, but you have to value yourself enough to say, â€˜I'm not