Hi,
Welcome to ehealthforum,
Most of the hormonal birth control pills start giving you effective protection after about 2-3 weeks of regular use, hence, if this was your first pill pack use and if you were sexually active without protection, chances of pregnancy are possible. Urine pregnancy test kits usually start showing positive results after about 20 days post-conception (roughly corresponding to about 1 week after your missed/altered periods). The test should always be done on early morning first urine sample to get accurate results (pregnancy hormone HCG is believed to be in highest concentration in this sample, and you should avoid lot of fluid intake and use of caffeinated beverages in the night before taking the test). Wait and watch for your periods. Look out for development of any other new symptoms if pregnancy is suspected. If periods do not start within 10 days of expected period dates, or if you get abnormal periods, or if you suspect chances of pregnancy, consider visiting your doctor/gynecologist at the earliest for thorough examination (to confirm pregnancy related changes/signs in body) and blood/serum HCG level test (to confirm/rule out pregnancy accurately). Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Take adequate rest. Drink plenty of water. Maintain healthy diet.
Take care.