I am 30 yrs old I had my last child April 2013

Hello Anonymous,

Welcome to EmpowHER and thank you for reaching out to our community. I will not gamble a guess as to whether or not you are pregnant. However, I can suggest you wait until your period is late by at least two weeks, especially with the history of your last two pregnancies. For the most accurate result, test in the morning. The first urine of the day is concentrated and will yield a more accurate result.

Tubal ligation failure is low at 2-10/per 1,000 women. There is no 100% guarantee for any form of tubal ligation.

The causes of true failure of tubal ligation are incomplete or inadequate closure of the tube, misidentifying a different structure for a fallopian tube, development of a fistula or recanalization, and a misplaced device used in occlusion the fallopian tube.

Failure to identify the fallopian tube maybe due to poor lighting or presence of scarring . Scarring results when a patient has had conditions that required surgery in the abdomen, for example, endometriosis or pelvic inflammatory disease.

A fistula or an abnormal opening called tuboperitoneal fistula develops between the abdominal space due to incomplete healing of the ligated end of the fallopian tube. Recanalization occurs when the ends of the fallopian tube regenerates and form slit-like spaces and pouches or the ends of the tubes meet and re-establish the patency of the tube.

Anonymous, no one should think you are crazy. You know your body and when you feel different go with your instincts. Please keep us updated.

Regards,
Maryann