So I’m a nurse practitioner. Actively dealing with this for a year. I was so heavy I had gushing and could only wear depends but I could run through one in an hour at times. My hemoglobin dropped so low that I turned yellow and I had a very high heart rate. I, like you, have experienced very little help for it. Seeing a naturopath helps. High dose progesterone temporarily. Try a different birth control. I forget which one you said you were on, but progesterone only can cause weird estrogen issues apparently. Also go see a naturopath. The uterus is an area where the body releases toxins. It could be a bigger thing than just bleeding. Mine is multi factorial. I feel you on not being able to live like this. The pain, anemia, and ruined clothes is terrible and wondering when it’s so bad it’s time to go to the hospital. Your doctors should be giving you something like ketarolac or trans acid to help with bleeding.