I am a 32 year old female that had a tubal ligation done in 2012 with the filshie clip. for the last two months my breasts have grown a cup size, areolas have gotten bigger, and are swollen or puffy in relaxed state or when warm, breast and nipple tenderness, headaches and occasional dizzy spells, nausea after eating, and easily irritated mood. Two weeks ago I had an abdominal and transvaginal ultrasound that indicated everything is normal and not pregnant. Pelvic exam and tests came back normal. Last two periods were spotting and I am currently on cycle day 43. Before my spotting periods I was at a 31 day cycle like clockwork. I started vitamins a month before my periods started going wacky. Other than that, my lifestyle and eating habits haven t changed. What should I ask to be tested for to find out what s going on with my body?