I am 41 years old. I had a tubal ligation in 8/2009. I had a mis period last month, so im now on 41 days with no period. My breast feel sore and have on and off headaches, and slight ovaries discomfort. I recently had a mammogram (3 wks ago) and a pap smear (1 wk ago) i was told by my obgyn that on the computer notes it showed that i needed a referral for an ultrasound because of the mamogram. i never received a call nor a letter from the place i got my mamo done, to let me know what my byrad score was. i contacted my primary doc to request a refferal for the ultrasound. they when ahead and schedule me, however my appt is not until june 30th. is this something to be alarmed by. I just thought it was too long before I could know whats going on. My questions is could this be signs or pre-menopause or maybe ealry stage of cancer ? I don t believe pregnancy, correct? please reply