I am on levlen ed and when I was meant

Patient : I am on levlen ed and when I was meant to have my peirod there was only light bleeding and I went away for four days and forgot to take the pill and usually when this happens I get another peirod. And I didn't, I still haven't. There is a possibility that I am pregnant but I don't have all the symptoms. I have pretty bad heartburn, slight lower abdominal cramping and a little bit of tender nipples but not really anymore. It's been about a week and a bit since I've taken my pill Please help, thanks
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