Pregnancy tubes tide

Patient: Is it possible to be pregnant after tubes tied 12 yrs ago. Symptoms include missed period, last period 14 nov 2014, normally regular. 32 day cycle. Nauseas at night time early morning. Dizziness when getting up quickly. Lower aches in the back and bloaty

Symptoms: Missed period, last period 14 nov 14 , bloatiness, nauseas late night early morning, dizziness

Doctor: