What are the chances of pregnancy after tubal ligation?

Question

Hello doctor,

I am 29 years old and had my tubes tied nearly four years ago. But have been displaying symptoms of pregnancy for two months including weight gain in my stomach, nausea, sore breasts fluttering abnormal feelings in my stomach. It is believed I had a miscarriage nearly four months ago due to the sudden onset of my period.

The extreme pain that was contributed to it. My cycles usually came to between one and two set days and last for four to five days with a heavier flow. Recently they have been sporadic in their comings lasting anywhere from two to seven days with a lighter flow.

There is change in color with no clotting as used to be normal. I went to my gynecologist after the first incident and as per him, my cervix was soft and sensitive causing me discomfort when applying pressure. My stomach now is still the same with a harder to touch feel with pain in my lower right hip side that radiates up towards the bottom of my ribs lasting seconds to minutes and recurring frequently.

I have taken an OTC test that has came back negative and my blood pressure has been very low ranging around 83/67 mmHg. Can you please help me to figure out what is going on?

Thank you very much for your time and support.

Answer 1

Hello,

Welcome to icliniq.com.

With the description you have given, I understand that with the tubal ligation done four years ago and the urine pregnancy test negative and you are having your menses each month (bleeding lasting between 2-7 days). With heaviness and pain over the right iliac region and off and on extending towards the ribs indicate an ovarian cause.

It could be possibly a developing ovarian cyst which is duly enlarging in size. Oligo and hypomenorrhea are a feature in such cases. This is definitely not pregnancy. Ovarian cysts are known to produce estrogenic symptoms like sore tender breasts, nausea and bloating sensation as well.

The softness of the cervix could be attributed to the same. My advice would be to undergo a pelvic ultrasound at the earliest to rule out right-sided ovarian cyst formation or probably an endometrioma accompanied. The size would further decide the course of treatment. you may contact me for further opinion.

I hope this helps.

Thank you.