<s>[INST] hi i missed a few birth control pills in january and had unprotected sex, i have done some tests but have been negative, this week im having a few signs mainly being very hormonal and binge eating, also some abdominal pains. i get some flutters which are getting stronger and can be painful could i be pregnant [/INST] Hi ! Good evening. i am Dr Shareef answering your query.All the precautions including birth control pills are not 100% fool proof in protection against a pregnancy. If I were your doctor, I would go for a serum HCG determination and an ultrasound abdomen/pelvis if need be to rule this out and possibly consult a gynaecologist along with the investigation reports for further management .I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. </s>