I have had my tubes tied for about a year and a half and started on birth control about 4 months later due to heavy periods. I then started with heavy cramping and a lot of spotting so in Oct I had and d&c and they removed some scar tissue and small cysts. I was told to continue the bc and the bleeding should be better. I have started with the heavy cramping and spotting again. I bleed light to moderate most mornings and cramp during. I bleed after sex and cramp hard. This are the same problems I've been having for over a year. I go to the doctor in Jan and would like to have some conditions/suggestions to have him look into. I've been going to 2 different docs who share notes and nothing has helped. Anyone else having similar issues and what was causing it?