I am on birth control shots but had sex My

Patient : I am on birth control shots but had sex.. My period should be any time but has turned out spotty instead unlike usually.. But I have had cramps.. Could I be pregnant?
Doctor :   Hello, Thanks for the query. Abnormal spotting, reduced flow in bleeding can be possible when you are on birth co ntrol pills. However, do a pregnancy test to rule out pregnancy as no contraceptive is hundred percent effective. Hope this helped. Regards

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