Missed period while on the pill

Patient : I've completely missed my period while being on the pill and have taken a number of urine tests to see if I'm pregnant (all 4 came back negative). When i was meant to have my period i had the usual cramps, mood swings, back pain and discharge but no blood. I had a small amount of spotting but that was all. Should i be concerned about pregnancy or could this just be due to high stress or something else?
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