How did you realize you were pregnant?

I'm not sure if I'm pregnant. I'm on birth control (pill form that I take the way you are required) and I have had a period, or at least what seems like one. It lasted 2-3 days. But today I've been experiencing a pressure feeling in my lower stomach and a little nausea. I took a test about a month ago and it came out negative, but it keeps happening so I was wondering if I could still be pregnant? Or if it's just all in my head? Or maybe even some prolonged pms symptoms? Can anyone give me some answers?

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