Uy, this is something na kailangan mo talaga i-discuss sa OB mo sa public hospital, sila na nag-manage sa iyo from the start, so sila ang best to advise kung kailangan talaga ang ligation given your dysmenorrhea at ang ovarian cyst at myoma mo. Hindi ko makapag-decide for you dito, pero I know a few mums na nag-ask din ng same concerns, at ang key talaga ay honest talk with your doctor about your worries before delivery. Pls don't stress too much about this muna, focus on your pregnancy, then tackle the ligation question with your OB once baby's here na. They know your medical history best, sis. Rooting for you!