Is it possible to get pregnant in the first 2

Patient : Is it possible to get pregnant in the first 2 months of starting contraceptive pill? I recently had breakthrough bleeding the day after intercourse with my partner about 3 weeks ago. The last 2 weeks I have noticed pregnancy symptoms - breast changes, cramping, headaches, nausea. I have a 5 yr old and feel the same as when I was pregnant with her. Is it just hormone changes from pill causing my symptoms or can breakthrough bleeding increase risk of pregnancy?
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