 [ Symptoms ] i got my tubes tied after my 3rd child its been 2 years now i have had my period every 28 days for 6 days i got my tubes tied after my 3rd child its been 2 years now i have had my period every 28 days for 6 days but this month it was late by 4 days and it was light almost nothing and it lasted 3 to 4 days i have been feeling a lot of cramps lower back aches tones of headaches tender boobs nausea body temp up and down a lot more tired then usual some time dizzyfatigue and more what do you think it could be [ Disease ] it may take up to 4 weeks to see the effectiveness of oab medications they do have side effects but the topical or skin gel oab medication gelnique may be better as it has fewer side effects you need to drink so as to maintain your hydration oab [overactive bladder does not usually cause discomfort or pain in your pelvic area ic [interstitial cystitis] does cause pain which is relieved goes away or lessens after voiding i suggest you try behavioral interventions such as diet modification bladder retraining and pelvic floor muscle training 