 [ Symptoms ] what can tender breast and light cramping and spotting mean  i am on birth control nuvaring i have been on it for two years and have never felt like this i had unprotected sex a few weeks ago i have been using my ring properly i am a little overweight could that make my ring less effective could i be pregnant or is it something else going on my spotting is pink with lite cramping it is been like this for a few days on and off now my breast have become tender to the touch [ Disease ] hi see my second answer sorry it wont come up without a prompt glitch on webmd