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Some women choose to be sterilized by a surgical procedure known as a postpartum tubal ligation. You mentioned that you did have one of these and there are very few complications that happen from them and overall the chances of becoming pregnant ten years after, about 18.5 per 1,000. For women who do become pregnant after having a postpartum tubal ligation they are more likely to have a tubal pregnancy. You mentioned that this is a concern of yours, you've been having some cravings, you've felt a little bit sick for the past two months, and you're wondering if you're pregnant and how to approach it. You can first start out by taking a home pregnancy test, just one that you buy at the store. The hormone that that test detects is called human chorionic gonadotropin or HCG and this is the hormone your body secrets when it's pregnant. Depending on the level of that hormone the over-the-counter test would pick it up or not. Usually they're just not effective if it's too soon or you just barely become pregnant. It should catch at least give you a positive result for a tubal pregnancy. Overall I would recommend, if you're concerned, talking to your OB provider because they can do blood tests and other exams if they feel like it's necessary after talking to you and determine for sure if you're pregnant and what your cravings and other things going on are caused by if not. Good luck with everything and if you have any other questions for me feel free to ask them on our Facebook page and recommend us to your friends and family too.