Hello,
If you suffer from dysmenorrhea (painful menses) or irregular menses, yes, the birth control pill can be used to help regulate your menstrual cycle and improve dysmenorrhea. In your case, having had a tubal ligation, the indication would not be for birth control but for the symptoms you describe and that is fine.
I'm not sure what you mean by taking four pills. You should take it as you otherwise would: one pill at the same time each day. I suggest you see your ob/gyn to discuss these issues in greater detail.
Best regards,
Dr. Downing
Just keeping this at the top. I really need an answer.