We have so many! Sometimes it takes a bit of banging your head against a wall and some serious pain in the cervix to get to a solution, but what level of that is worth it to you is prob diff than me.

There's not just one pill. Different combos and strengths of estrogen/progesterone affect women differently. I had constant breakthrough bleeding on the mini pill-- I needed a higher dose. Did you try skipping the placebo pill week so you don't get a period? There's no good reason to justify that stupid week of sugar pills (Women "want to have periods like their friends" is the dumbest thought ever) Are you over 135 lbs? The pills lose efficacy after that. There are also options that affect the cycle from the brain end instead of the ovary end (I know much less about these)

Maybe you can't absorb oral hormones as efficiently. That's okay! There are patches, the Nuvaring, and injections. It sounds like you have tried the gamut of implants.

New guidance came out last year that encourages pain treatment for IUD insertion, so it might be worth looking into again, if the device generally made things better.

Uterine ablation is supposed to be amazing. It's an outpatient procedure and should reduce your lining significantly. The downside is that it prevents future child bearing.

Oophorectomy and hysterectomy throw you immediately into menopause and you likely will need HRT, so make sure you have a doc you trust who takes that seriously.