I have had problems with anxiety disorder since i had my tubes tied ,can a tubuligation cause perimenopause ? i noticed that when i think back all the problems im having started after my tubes where tied and as time goes on over the yrs its only became worse . i have been told more than once im to young to be perimenopausal . i had my tubes tied 19yrs ago and havnt been the same person since. can anyone help me with this question ?