Am I Pregnant, Please help!

Patient : I'm 18 years old, I was on depo provera for a year. Now I've been off it for a year. I still don't get a period I get spotting here and there but it's irregular, I've been sexually active for 2 months now no protection, me and my boyfriend are trying to conceive. This month I had some light bleeding 2 days after having sex it was dark brown lasted for no more then 3 days about 10 days later I had more bleeding for no more then 2 days. My breast feel heavy and a little tender not super sensitive though sometimes get a shooting pain in my nipples, my skin is really dry on my elbows and face, I out-broke in acne on my face, my lower back is pretty sore, I've been burping non-stop and have constent hic-ups, feel nauseous pretty frequently I have mild cramping as well, I have a sinus infection too at the moment I'm on amoxicillin and Nasonex. I haven't taken a pregnancy test yet, between jan.13th 2012-jan.20th we were most sexually active alomst 2 times a day every day during those dates. When should I make a doctors appointment?
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