I hope you will see a doctor about all of your problems.

You probably had a tubal ligation, which is where they tie off or cauterize the fallopian tubes to prevent eggs to get from the ovaries to the uterus.

Tubal ligation usually doesn't affect hormone levels, but hormones do decrease as we age and sex drive can be affected by that. Also, dips in hormones can contribute to incontinence, but only your doctor can determine the best course of treatment for that.

The encouraging news is that there are some wonderful new options for increasing sex drive for women, including topical creams with testosterone.

Please see your gynecologist to discuss all these options as well as your bladder difficulties.

Take care.