Can Progesterone mini pill be used for heavy menstrual bleeding instead of having a coil or hysterectomy?

Hi doctor,

My periods have always been heavy. I have been on blood thinners since 2021. I am on the following medications: Apixaban 2.5 mg, Quetiapine 200 mg, Estrogen 75 mg, and iron tablets for heavy bleeding. I have undergone hysteroscopy and two internal scans, both all clear.

I had my periods when I was eight years old. From this early age up until I was 35 years my periods would last for seven days and be very heavy, and then I would have spotting for five days. My periods were reasonably on time. I had given birth to two boys by C-section, and I lost one son due to pre-eclampsia. I also suffered from a blood clot in 1994. When I hit 40 years, my periods went down to three days, still very heavy, and I would spot for four days. My GP back then thought it was perimenopause, and I had a coil fitted, after which I had no periods. Everything was fine until last year when I suffered an unprovoked blood clot. The hospital put me on 20 mg of Apixaban which caused extremely heavy periods and resulted in me being anemic. I was told this was a gynecology problem, not hematology. I was referred to a gynecologist who was horrific. A male doctor had no respect and treated me like a piece of meat. He said I had thickening, which was hormone driven. He said I had to have the coil or hysterectomy from one extreme to the other. He sent me for an internal scan which was clear, and a hysteroscopy and biopsies, which was all clear. A coil was fitted but slipped, so now I face going back to gynecology, hopefully, women, but I do not want a hysterectomy. My question is could I stay on the Progesterone mini pill? As that has always helped, and I have had no problems. Do I also have to use estrogen gel? I really need some advice.