<s>[INST] Hello, I m a young boy with bad anxiety and I have a question. My girlfriend started taking the birth control pill Sprintec the Sunday her period started. She stopped taking it on the following Friday because of the side effect. It has been about 20-22 days since she has last taken it and about a week or two after getting off of the pill she started saying she feels nausea and gets bad cramping. We ve had protected sex and I always take caution and pull out before I finish. It is the 25th and she usually starts on the 1st. Could she be pregnant? Or are they side effect of getting off of the pill? And can the pill push her period back some? She did have spotting about 2-3 days after she stopped taking the pill. [/INST] Hello,Thanks for letting us know your health concern. I have gone through your query and would like to offer some information. Withdrawal effects of the oral contraceptive pill can cause the symptoms she is experiencing and also the spotting that she saw. If you are practicing only the withdrawal method, chances of failure are more. You need to use double protection for better result. She may also experience a delayed period in this cycle since she used the pill for sometime. Please get further help if she becomes overdue by ten days. Pregnancy chances are less in the current scenario. Hope this helps. </s>