18 and Nervous I Could Be Pregnant

QUESTION

Dear Midwife,
I'm 18 years old and I'm a little nervous as to what's going on with my body.

My bf and I had unprotected sex on December 27th. I forgot to take my pill that night and didn't remember until later the next day. Ever since I've been spotting and had really dark dark blood maybe? coming out. We've had unprotected sex a few more times since then.

My concern is that this spotting hasn't stopped and it's been eleven days now, my body is very fatigued and sore, I'm very tired and always seem to be hungry. I'm urinating quite frequently and have noticed my breasts are a bit more sore than usual as well.

I'm due for my period in a week and 3 days. I'm on the Jolessa birth control pill which is the 3 month version of the pill. I realize that spotting is regular for this BC. I've been on it for 2 years now but never had discharge that's looked like this.

If you could please help me I would be so grateful! Thanks for everything.

Sincerely,
Concerned

ANSWER

I think you know the answer already; if you miss your period, you need to do a pregnancy test. Missing pills is an excellent way to get pregnant, so if you are not pregnant, but miss pills again, it would be best to consider another form of contraception.

--Cynthia, CNM

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Cynthia Flynn

Cynthia Flynn, CNM. PhD, teaches in the College of Nursing at Seattle University and is President of the American Association of Birth Centers. She also practices midwifery at Valley Medical Center where she cares for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.

Cynthia hosts a monthly "Ask the midwife" chat as well as answers questions via our expert section.

Listen to Cynthia live on Pregnancy.org Live: Before, During and After.

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