What does it mean when you spotting 2 weeks before your period come down and also have had a tubal ligation 8 years ago?

Spotting between periods is a common experience for women following a tubal ligation, particularly in the months immediately after the procedure. Here are a few possible explanations:

1. Hormonal Changes: Tubal ligation can cause changes in hormone levels, which can lead to irregular bleeding patterns and spotting.

2. Endometrial Lining Changes: The endometrium, which lines the uterus, can be affected by tubal ligation, causing it to shed prematurely, resulting in spotting.

3. Scar Tissue: The formation of scar tissue around the fallopian tubes after tubal ligation can sometimes cause irritation or inflammation, leading to spotting.

4. Pregnancy: Although tubal ligation is considered a highly effective method of contraception, there is a slight chance of pregnancy if the fallopian tubes reconnect or if there's a surgical error. If your spotting is accompanied by other pregnancy symptoms, it's important to take a pregnancy test.

5. Other Medical Conditions: Spotting can also be caused by various other factors such as uterine fibroids, cervical polyps, sexually transmitted infections, hormonal imbalances, or underlying medical conditions.

If you're concerned about the spotting or if it persists for several cycles, it's advisable to consult your doctor for a proper evaluation and to determine the cause.