I had seen my mom go through the same thing when she was about my age, and there was no way I was repeating it. She actually ended up having a hysterectomy, mostly because she had a doc that was a fan of just removing whatever organ was bugging you. Same reason why she has no gall bladder and is missing a huge chunk of one boob.
The doc I saw was thinking the endometrial ablation might work, and while I was waiting for my next appointment, I did my own research and tried Kokoro Cream, which is a really good quality progesterone cream. They're definitely NOT all alike. It helped within just a few days, and so I told my doc about it when I saw him. He said one of the other doctors in his practice had also had a lot of success with progesterone, so we decided on the Mirena IUD. It's good for 5 years, and I just had it replaced a year ago. I absolutely love it, though I do know it doesn't work as well for some.
In my case, the insurance wasn't billed as "birth control" but something more along the lines of "hormone therapy" associated with menopause. I'm not sure if that makes a difference in the coverage.
Personally, I would try the Kokoro Balance Creme for Women BUT make sure you do your research first because you can really screw yourself up hormonally if you use too much or without knowing what you're doing.
There are a couple of book by John Lee, What Your Doctor May Not Tell You About Menopause and What Your Doctor May Not Tell You About Premenopause that you can get on the same website, but I got the first one from the library back when I was trying to figure all of this out.