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i had a tubal ligation in 2004 there can be times your periods will be late if you are 20 days late with cramping especaily if its your back and lower abdomin you could have ectopic pregnancy a ligation is 99 percent efective they can also cause cyst which can be quite painful and also cause you to be late how ever only an aultrasound can show cyst and a blood serum test have you taken a urine test yet

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Q: Six months ago you had a tubal ligation and am now twenty days late for your period have had some cramping?
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