I am 45 years old and last year stopped taking birth control pills because I had been taking them for 15 years. With the mood swings, vaginal dryness, missing periods, and no sex drive, I thought it would be a good idea to stop taking them. My husband and I do not want to get pregnant, but since being off the pills, my whole attitude has changed. I recently missed a period and we panicked. So now I am thinking of having a tubal ligation. Would it be better to do this or at my age would it be beneficial to looking into having a hysterectomy?