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I had my tubes tied in my early 30's and this last year ended up having surgery for a grapefruit sized clusterCluster headaches of cysts that had bled together. I have found some research that indicates that tubalEctopic pregnancy Gynecologic laparoscopy Tubal ligation Tubal ligation - series ligations do put you at higher risk of cysts but are not necessarily the cause. It took 16 years for me to have cysts after my tubal. They don't know the real reason for cysts but do suspect our hormones contribute. There has been a lot written about estrogen dominance and its contribution to cysts and other things. What are they planning to do for treatment for you?