I Am 43 I Had 3 Sections Tubes Tied .

I am 43 I had 3 sections tubes tied . My period has been erratic I skiped may and June in July it was 21 days on then I stopped for 10 days and have been on 2 weeks now ..severe cramping lower back pain. clumps and clots going thru the pads Evey hour tampons are uncomfotable and seem to cause pressure, fills like my lady parts are going to fall out. No energy feel drained . Family history of cervicle cancer should I go to er