I couldn't get to the pharmacy to get my birth control on time, so I ended up starting my new pack this month about 12 hours late the next day. I had light spotting that day and have had light cramps all month. I have 2 active pills left, and I started spotting again today and having really bad cramps. My boyfriend and I have used condoms every time and they've never broken, so I'm not super worried about pregnancy. But are spotting and cramping symptoms of a missed pill? This is also only my 6th month on mononessa, if that helps too.