Am in my early forties. For the last few years, I've used 2 different sized menstrual cups depending on my flow. I have a normal size and a "fanny bucket" which looks like a v small mixing bowl. 
For the last year or so, for the first 2 days of my period, I have to wear the bucket with a sanitary towel, and change it every 2-3 hours, and at night, all bets are off. I have the bucket, a towel and also sleep with an actual (old, bathroom) towel between my legs (so dignified), but I still usually bleed onto the bed.
I don't have ridiculous amounts of period pain, just a normal amount and it's bearable without painkillers. I do often pass large clots, but nothing that has overly concerned me.
Do I have to have this faff with towels every month (I can't take hormonal contraception) or is there something else that could be done, and if so, should I seek help?