had tubal clamps, pregnancy symptoms

i am 25 years old and had my tubes clamped 3 years ago after my 2nd child. my periods come every month like clock work. this time my period is going on 2 weeks late and im experiencing extreme nausea and am have very mild lower back and stomach pain. could i be pregnant? if not what could this be?

[Elaine Brown, MD]

Hi!
Its unlikely that you are pregnant, but I ALWAYS recommend a pregnancy test anyway!
If you were my patient, and had no risk factors for endometrial cancer ( obesity, diabetes, PCOS, family history) I would probably prescribe a pack of birth control pills to get the bleeding under control.  I usually have my patients take two to three per day until the bleeding stops and then one per day to finish TWO packs.  After that, I would discontinue the pills and wait and see what happened.  Its probably just a minor "blip" in your hormone levels that happened for some reason--Stress?
Good luck!
Dr B