Urgent - Cramping and Discharge a week before period

Patient

Q: Hello! I am 19 years old and have been on Loestrin 24 FE for a year now. I am a week away from my period but have light cramping as well as some light bloody discharge, it started as brown a few days a go and has gotten heavier. It is still not very heavy and it is not spotting I only see it when I wipe. I have never missed a pill and have taken it at the same time every day for a year. I know that this sounds like implantation bleeding but I have no other signs of early pregnancy. I have had sex with my boyfriend a few times this month but he has never finished inside me or been close to. I am very concerned about being pregnant and I have never had these Symptoms before. My periods always start this way but just not a week early. What does this mean?

Doctor

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