I have been on the birth control pill for 6 months now. In the past year, I have switched from the pill, to the IUD, to the Nexplanon arm implant, and now I'm back to the pill. I take my pill consistently at 9:30 every night. At the start of my pack this month, my fiancé and I did have sex once during my placebo pills and I took my first pill 7 minutes early. I have not missed or taken any pills late. I'm currently on the third week of my pills, and still have about a week left until my placebos. I have been experiencing cramps that are similar to menstrual cramps, they haven't been bad, but they are a bit concerning to me. As a precaution, we also use condoms and I do take ovulation tests as a precaution as well in case something happens and an LH surge is detected. No surges were detected when I had sex twice this month. However, I have taken 2 pregnancy tests and they were both negative. I have had sex recently, but a condom was used as well. Are the cramps likely to be caused by a possible pregnancy? I have never experienced cramps on my active pills before, and I'm not sure what it could be caused by.