I had my tubes clamped not tied cut or burned back in 1994. But yesterday morning I had severe pain and I thought it was just a cause of bad gas. When I went to the restroom I had a feeling to push and when I did I passed what look like bloody hamburger meat. I thought that was very strange and I have never started my period this way nor has that ever happened during my period. Could I have had a miscarriage? I ask this mainly because I was already 2 weeks late for my period and the month before I only spotted for 2 or 3 days. I thought it was just the beginning of menopause with be 47 years old.