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What are the signs you are pregnant with your tubes tied? In a lot of cases, the symptoms are the same as when you are pregnant without trying to prevent it. Like morning sickness, fatigue, a lot of bodily changes. I went through that with the first pregnancy, which is why I got my tubes tied after the second one. When you’re pregnant with your tubes tied, there are a number of signs to look out for. Like the urge to scream at the doctor for not doing it right? If you’ve had your tubes tied, you’re at greater risk of an ectopic pregnancy. I’ve heard the term but do not know what it means. An ectopic pregnancy is when the egg is fertilized but cannot make its way to the uterus. Because the tubes are tied. Yes. And the growing embryo is trying to grow somewhere that is not designed to contain it or expel it. That does not sound good. An ectopic pregnancy means you have an embryo trying to grow where it presses on the surrounding organs. If you have severe pain in your stomach that won’t stop, that’s escalated over time, you need to get to an ER. Do not they have to do surgery to fix that? Yes, because it is not like they can transplant the embryo to the uterus. Whether they take out the embryo or an ovary too, depends on the situation. I’d only heard of it as someone going in thinking they had appendicitis, and got the ectopic pregnancy diagnosis after they did a pregnancy test. Your odds of an ectopic pregnancy are higher after you’ve had your tubes tied than normal, but your odds of getting pregnant after your tubes tied is still one percent or less. Given my luck, this is the only lottery I win. The odds of ectopic pregnancy after tubal ligation are three times that of normal. But if it is a normal implantation, the rest of the pregnancy is as likely to be normal as the others. Except that I got rid of all the baby stuff. And you’re older, which means you have the higher risks of prenatal diabetes and genetic defects than when you got pregnant a decade ago. What other symptoms could I have with pregnancy after a tubal ligation? If your period skips, you could be pregnant or hitting menopause. I’m not old enough for menopause. And the hot flashes are hard to mistake for anything but a symptom of that. But if you have pain on one side of your abdomen, it means you have something seriously wrong and need to see the doctor, whether pregnancy or something else.