Hi,
The
tubal ligation 7years ago is unlikely to cause the menstrual problem you have.
If you are in fourties it may be the premenopausal sign
But it is always advisable to get a through check up by a gynac including
sonography to exclude certain conditions (Like FUH, Fibroids etc.) Which are common at the stage.
Back ache at the periods can be taken care of by pain relivents or other specific pills gynac advices.but in pre
menopause it's common to have Calcium defficiency resulting in
back pain.(Calcium with vit, D 500mgs. along a glass of milk ,green vegetables,Soya products would benifit.)Some inflmmation in pelvis may cause back ache -but it's usually associated with
vaginal discharge. It also needs a Gynacs advice .
Shoulder pain can be just due to calcium defficiency OR strain/sprain (pain killer+calciumfor this) OR it might be some orthopedic problem demanding expert advice. IF it's left shoulder-associated with Diabetese,
High blood pressure ,a physician's advice is needed.
I have tried to clarify -how your problems may have various causative factors,ALSO I have tried to explain common causes with simple remedies.
Please try to understand, any quries from your side ,I would definately solve.
Lastly it's always better to get a compleate health check up done after fourty.
Take care.
thank you.