Could I be pregnant without getting a period in over three years.

Patient : I've been on the mirena for 3 years now. I've never had any problems until recently. My breast have gotten way bigger. Like over a cup size different. I haven't had my period since I got the mirena put in. I have had signs of pregnancy in the last few months but test are all negative. Is the mirena making my breast larger or is there a chance I could be pregnant and still get Negative test ?
Symptoms:  Larger breast
Peeing a lot
gained weight
Smell increase.
Sleepy all the time
Feel sick throughout the day.
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