You had your tubes clamped in2001 and someone told you that they stopped doing that 4 yrs ago cause they were not affective you think that your clamps have came undone and you are tired all day wanted?

If you had your tubes clamped in 2001, it's possible that the procedure was effective at the time, but it's true that medical practices evolve. Tubal ligation methods, including clamps, can sometimes fail, leading to unintended pregnancies. If you're feeling consistently tired and suspect a change in your reproductive health, it's important to consult a healthcare professional for evaluation and guidance. They can provide insight into your specific situation and recommend appropriate tests or treatments.