Hello, this is my second month on both control I had anal sex the first week of my second pack he did not ejaculate but I heard it was highly likely to get pregnant from pre-ejaculation because the anus and vagnia are so close. There's two days left till my active pills start again I was wondering if I should be concerned? I had bloodwork done and my hormones where normal but insulin was elevated I'm not sure if it's related I'm just really scared and don't know if I need to be I took all pill correctly there was 1 I took 4 hours late