Pregnancy possibility? mild nausea+no appetite last week of active pills,18 days after sex,negative pregnancy test, take bc perfect, pull out method

Pregnancy unlikely: Home pregnancy tests are very accurate and not affected by foods, herbs, common illnesses, sexually transmitted diseases, vaginal spotting, or medications. A test gives a reliable result 3 weeks after sex (3 weeks after when conception might have happened) or 1 week after missing a period. If done sooner, a negative result may be due to testing too early such as less than 2 weeks after conception.