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is there any other condition that could cause this?

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I am 45yrs old,had 4 children,youngest is 19,i were sterilised(clips)a few weeks after giving birth.Periods have always been regular, until 5 months ago,i have missed 3 out of 5,i didnt think much about it,possibly early mennopause,gained a bit of weight too. But over the past month my stomach appears to be the size and shape of a 5month pregnancy,i did two home tests,both negative,however i suspected they would be,as with all my children,none showed up,and only confirmed pregnant at 4.5 months.I have all the symptoms of pregnancy,including movement,(not wind) i do know the difference after 4 children,i also have lower backpain,never had that before.I went to the doctors,she can feel something,but wouldnt do a full examination due to how i look,have had numerous blood tests,results next week,i feel sure there is a baby in there,but confused,is there any other condition that could cause this,its driving me mad.

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replied November 5th, 2011
Am I Pregnant Answer A28224
Welcome to ehealthforum,
There can be chances of spontaneous recanalization of the fallopian tubes after few years of ligation or due to slipping off of clips/ligatures/sutures etc. If the ovaries are functional and you had been having regular periods (usually an indication that you are having regular ovulation), the chances of pregnancy cannot be ruled out (especially if you are sexually active without use of birth control methods). The symptoms described by you do suggest possibility of pregnancy. Wait for your investigation results. Look for the blood HCG results (for accurate confirmation/ruling out of pregnancy). Consider getting serial HCG levels estimated if pregnancy is suspected. Doubling up of the hormone levels in 48-72 hours will show that pregnancy is going on smoothly. An ultrasound scan done will also help to confirm gestational age of fetus/baby and at the same time help to look for any other structural problems (ovarian cysts, enlarged uterus, uterine fibroids etc). Treatment as indicated by your examination findings/investigation results would be started to help you. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Take adequate rest. Drink plenty of water. Maintain healthy diet and lifestyle.
Take care.

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