M.C.
My cycles were like yours with extreme bleeding, pain, and debilitating fatigue. I got to having 11-14 day periods with two weeks off in between. I decided to skip pills and all that and tried an ablation. It was a breeze to have done but did nothing whatsoever for me. I had a hysterectomy 6 months later with everything out but one ovary. I had to have the abdominal incision because my uterus was super large. The recovery was tough especially the first couple of weeks. By six weeks I could pretty much do everything. I feel infinitely better now and wish I had done it sooner. I'm 50 now and had it done almost two years ago, and my quality of life has increased a lot. I am so thrilled not to have to worry about periods. Since I still have the ovary, I still would get other symptoms during my "cycle", but I think that ovary is shutting down now and I am going into menopause. I am glad I had this done. I hope you find your answer and feel better!