Hi, I've been sexually active for a few months, I've

Patient : Hi, I've been sexually active for a few months, I've also been on the pill for the same amount of time. I've not once have ever spotted, before or after taking the pill yet I spotted yesterday. My period isn't due for another 11 days. About 5 days ago, I had intercourse with my boyfriend (we don't use condoms) and went to bed about an hour after. I woke up at 2am in intense abdominal pain which lasted about an hour and a bit, I ended up sleeping it off and in the morning I was fine. Since then I have been feeling a bit fatigued and moody, also have lost my appetite. Really worried as to why I'm spotting. What could it be from???
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