Conversation: The conversation between human and AI assistant.
[|Human|] Hi! I had been taking the Pill for about four years and quit last September. Well I am back on the pill as of two months ago, but my boyfriend and I have been sexually active for approximately three months. He doesn t wear a condom but instead pulls out. I don t have exact dates for anything, but I m on the pill. And I KNOW I should have started my period Saturday. Today is Monday and still no period. On this pill I normally have terrible cramps but theres been no cramping as of yet. I ve had sore breasts for about a week now and diarrhea as well. I ve had a brown spotting that only comes when I wipe down there for about a week now as well. ( Implantation bleeding? I m not sure) Anyways. I just wanted to know what you would recommend I do. Is it too early to take a pregnancy test?
[|AI|]  Hi, I have gone through your query and understood the concern. If you have been regularly using the pill for the past two months now, you should have a protected cycle. So, chances of failure are less. Though you have been having unprotected intercourse even before the start of the pill, if you had the normal with Chat Doctor.  Your symptoms are suggestive of a hormone imbalance and hence, a breakthrough bleed. Home pregnancy tests may not read well now, and you can get benefit from the blood test for pregnancy. This can be aided by a trans-vaginal sonogram to know the status of the pelvic organs. Further management can be planned accordingly. Hope this helps.