instruction: hello doctor I was wondering if I could ask a few questions about a potential ectopic pregnancy I recently started new birth control after not taking any sort of birth control for three months called drospirenone and ethinyl tablets up 3mg 02mg and I am now on day of taking the pills I had unprotected sex within the first week of taking the pill however I have always had a really light period and rarely got a period when I was previously taking birth control the last day I had unproductive sex was exactly 19 days ago however about five days ago I started to have more intense cramps on the same side and I am also bleeding this is what it felt like last year before I took a test just way less severe I looked online and learned that I can take a pregnancy test at least 19 days after intercourse so I just took one and it came back negative I am not sure if I am having an ectopic pregnancy or it is just too early to tell if this could be a side effect of the new birth control or if this is just my regular period despite it starting in the middle of my pack
output: hello you have to know that contraceptive pills will prevent a future pregnancy if you have taken the pills for seven days after that you can have unprotected sexual intercourse so before that you have to use another form of contraception also if you have had sexual intercourse not in your ovulatory day that means at first day of your cycle the possibility of a pregnancy is low the urinary test has a high acurracy if you perform that after a week of menstrual delay I read that you have experienced a rupture ectopic pregnancy last year the typical symptoms of an ectopic pregnancy are missed period abdominal pain cramps and spotting I recommend you a hug human chorionic gonadotropin blood test you can repeat that every 48 hours to detect a future pregnancy it will double its value in an intrauterine pregnancy meanwhile the rise of hug value in an ectopic pregnancy has another pattern less than a normal pregnancy also the cop and the medication that you take can affect your cycle I would recommend hug blood test at first if you have the bleeding within your expected date without delay it would be your cycle that has come