I had a tubal ligation about a year ago this May. My periods have always been like clockwork... 28 day cycles, and I can pin point the day. I can even feel my ovulation, and which side its on. I missed my normal period 7 days ago. I feel nauseated, dizzy, increased appetite, extreme fatigue during the day, I had sore breasts a few days before and after my missed period but that has passed, and a sharp pain in my lower right side, around my hip area. I also dont feel the urge or desire to smoke cigarettes or drink alcohol....which has always been a tale-tale sign of pregnancy for me in the past. I have 4 children, and know the changes in my body, but my tubal that I had last year is what is throwing me off. I took a home pregnancy test yesterday afternoon- negative, and one this morning, early-also negative. I called my OB/GYN Midwives office and explained the symptoms...they said my best bet is to go to the ER. I really don't want to spend 4-6 hours in the ER if Im just over reacting for nothing. I also called my Endo, since I suffer from Hypothyrodism, and she claimed that my medication and/or my disorder would have no effect on my body causing those symptoms -together. Im very nervous that I may be carrying an eptopic pregnancy, or a pregnancy at all. My husband and I do not want anymore children. There is no added stress in my life, more than normal anyways. We havent moved, changed jobs, schools, we are in a good place in our marriage, etc. Am I going crazy, or should all this really be cause for concern? I've seen hundreds of posts on various websites with women claiming the same symptoms, and all with different outcomes. Some guidance would be greatly appreciated. Thank you.