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a pill fell down the drain, spotting

I'm very confused on whether I'm having early pregnancy signs or hormonal imbalances?
In about mid July I had sex with my boyfriend, I'm on the pill and we used a condom but the condom broke. He didn't ejaculate but the pre cum got inside of me. I take my pills religiously. The following week I went to take my pill and it fell down the drain so I wasn't able to take it. I haven't had sex since the time before the pill falling down the drain incident which happened after I had sex. I've recently been having spotting with blood for the past few days and I'm getting scared because I'm only 16. Could this just be hormonal imbalances? My period is due tomorrow but all that has been happening is the spotting (brownish color) with blood during the day and basically nothing at night.
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replied August 19th, 2014
Hi,
Welcome to the ehealthforum and I am really glad to help you out.

Since you were taking the birth control pills regularly before intercourse and had missed the pill only after intercourse, chances of pregnancy are less likely. This spotting can be due to hormonal imbalance.

You should wait for your periods and you should get it on time. If you are apprehensive regarding the status of your pregnancy you can get it checked. Most home pregnancy tests that check urine beta-HCG are sensitive to 20-25 mIU/ml of HCG. The test can be positive anywhere from about 2-3 days prior to a missed menses to 4-5 days after, but usually it should be done 7-10 days past your missed period.

Otherwise you can get a serum HCG also done which is more specific than urine pregnancy test.

I sincerely hope that helps. Take care and regards.
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