If you are pregnant, it would NOT "MOST likely be ectopic." It's simply MORE Likely than if you had not had a tubal ligation, but the odds are still in your favor. I believe the chances of a woman without a tubal ligation, has a 1 in 400 chance of an ectopic pregnancy but now you might have a 1 in 100 chance. So the odds are still quite in your favor but technically, you're "4 times more likely than you were, before" the tubal ligation. Make sense?
If you had clips put on your fallopian tubes, they can fall off. And ties can break. But it's rare.
My guess is you are either entering menopause, which is not a linear process for most of us. We stop our periods, they come again, and get off and on until finally they don't return.
OR your body is reacting to the medication changes. Our bodies are more sensitive than we realize. When we moved, and I was about 40, my body stopped having periods for nearly 7 months. Then they suddenly resumed and never missed one since...
Now I'm 52 and I'm still having my periods, regularly.
If I were you, I'd let myself wonder about pregnancy. But I'd think it's probably the third most likely possibility. (And an ectopic pregnancy will be looked at quickly.) Still, missing that many months of your period, if you are not having mood swings or hot flashes, would get me to call my doctor just to check things out. GOOD LUCK!
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