Natazia Birth Control Pill

Patient : Hi im on natazia and have been for about a year now, my periods are light and on time with no bleeding inbetween. At the beginning of july I went to the doctor and he put me on vyvance and triamcinolone acetonide cream for bug bites and I also began a 1200 calorie or less a day diet (most of the time I eat less). About a week after that I had sex without a condom on one of my fertile days according to my period tracker. Then last week I started spotting brown blood very light, could this mean im pregnant or could it be a result of something else?
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