Does it mean you are pregnant if your period comes a week early on birth control and been for 2 years?

An early or missed period on birth control does not necessarily indicate pregnancy. Birth control pills, hormonal patches, or other contraceptive methods work by preventing or delaying ovulation and altering the uterine lining. Sometimes, these hormonal changes can cause irregular bleeding patterns, including earlier periods.

However, if you have been taking your birth control consistently and correctly, the likelihood of pregnancy is low. To rule out pregnancy, you can take a home pregnancy test. If you are concerned or experience other symptoms of pregnancy like fatigue, nausea, or breast tenderness, it's recommended to consult with a healthcare provider. They can perform appropriate tests to confirm or rule out pregnancy.

It's also important to remember that birth control methods are highly effective in preventing pregnancy when used correctly. However, no contraceptive method is 100% effective, and some people may experience breakthrough bleeding or irregular menstruation while using birth control.