Could this be a sign I'm pregnant

Patient : I have been spotting for 5 days now. I have seven days until I'm suppose to start. The spotting is brown and sometimes pink but never heavy enough to fill a tampon or pad. My periods are very regular. I am on birth control but I don't take it every day at the exact same time and I occasionally miss a pill. I had unprotected sex five days before and the day before I ovulated. The spotting began three days after I had sex the second time. However both times of unprotected sex occurred within my fertile window. I am wondering what the cause of the spotting may be? could it be implantation bleeding? It is accompanied by slight cramps and a small amount of breast tenderness. How long should I wait to take a test?
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