Pregnant or birth control side effect?

Patient : I was on depo for 6 months, and about a week after my last round ran out I switched to sprintec. I had unprotected sex multiple times during the switch. I had my period almost the entire time I was on depo, so I don't know when I'm supposed to start. I have been on sprintec for a month and have not had a period. I am extremely tired, have mild cramping, I am always hungry, have severe breast tenderness/pain and enlargement, and extreme nausea to the point it wakes me up in the mornings. I haven't taken a hpt because I do not know when I will have missed my period. Is this early pregnancy or side effects of the birth control? }
Symptoms:  Breast tenderness
Nausea
Mild cramping
Fatigue
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