Could I be pregnant

Patient : I have had my tubes tied for almost 18 years, about 4 months ago I did miss two of my periods for two months in a roll, but I have not missed any since, Iam 48 so put that off to starting to go thru the change, last month my period was 18 days late, the last couple of weeks i have been feeling bloated with breast soreness, and feeling full, and last night and today i have experienced some twiching, and butterfly moment in my lower stomach area....
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