Pregnant?

Patient : I had unprotected sex with someone but he "pulled out". i have been on birth control for 4 months now, but the first two months i got my period. Now all i experience is spotting. when i wake up almost every morning i feel nauseousness and my stomach is very upset. I'm also getting cramping and sharp pains in my lower stomach and abdominal area. i took a test a few weeks ago and it was negative. am i pregnant?
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