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Case Title: Tubaligation causes severe vaginal dryness and frequently overdue, irregular period - the premature menopause symptoms for no more sexual orgasm
Reader: 1/27/2004>

Its been 2 years since my tubaligation. I now am over 3 months late with my period. Not unusual with me because it was always a problem. The only thing I notice is that I have severe vaginal dryness. 

I don't have any problems with my sexual life. I just want to know what should I do if I don't menstruate again this month coming? Should I take a pregnacy test? I don't believe I'm pregnact, but is there a possibity that the tubaligation failed?


Dr. Lin: 1/27/2004>You should take a pregnant test to check if your tubaligation has failed.
However, I think you are entering the menopause state from the peri-menopause. It seems your pituitary is too weak to release LH and FSH for reviving your ovarian function.  That is, your ovarian function is in menopause -releasing no more estrogen for helping vaginal lubrication. When the pituitary function is weak, you won't get hot flushes during menopause, but only vaginal dryness,  and you have a smooth transition. Some women are not so lucky like you. There are a lot of unlucky women having experienced a very rough transition of premature peri-menopause few days or months after tubaligation was done, as listed in this link -
http://action.love/extra/tubaligation.htm 
You have a very smooth transition like this one
Tubaligation and peri-menopauses causes her vaginal dryness for no sexual orgasm, but tubaligation won't cause hot flashes.
==> http://action.love/cases/case10907.htm 
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