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Susan Warhus, MD

Your question:
I had my tubes tied in September 2000. I have had regular periods ever since up until three months ago. Then I started having periods every three weeks. This month which is the fourth month, I only spotted very lightly! Is there a possibility that I could be pregnant?



The expert answers:
Many factors can lead to irregular menses, such as stress, certain medications or physical illness. Given that you had your tubes tied a few years ago, it's not very likely that you are pregnant. However, having your tubes tied is not a 100 percent guarantee against pregnancy! There is still a tiny chance that you could become pregnant.

If you think you might be pregnant, it's important for you to have a pregnancy test right away. If it is positive, your doctor will probably want to examine you and perhaps perform a pelvic ultrasound. That's because the chance of a tubal (ectopic) pregnancy is higher after you've had your tubes tied. Tubal pregnancies are potentially dangerous and always require evaluation and treatment.

With that precaution in mind, chances are good that you are not pregnant. In that case, I encourage you to see your doctor for a complete examination. Be sure to bring your menstrual diary with you. Your doctor may wish to run some blood tests to check hormones and your general medical condition. The doctor may also address your daily lifestyle habits and stressors that may have an impact on your overall health. Chances are this is not a serious problem and can be easily remedied with the proper diagnosis.PregnancyAndBaby.com

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