Hi Dolly
Just a few facts for you to mull over:
in peri meno, blood tests are unreliable. many drs won't even do blood tests for meno - unless someone is having a very early meno- because hormones are all the place daily- which is why tests are not very helpful.
They tend to go more by symptoms.
There are many different types of progestogens. Just because you had a bad reaction to one doesn't mean you will with another. HRT contains far lower doses than the Pill or other hormonal treatments.
Tranexamic Acid is given to reduce bleeds with heavy periods. But it's not a 'regulator' for erratic bleeding.
At 51 you are too old for the combined Pill anyway. And no gynae would do a hysterectomy on you at 51 for what are menopausal symptoms when there are other options such as a Mirena coil- for heavy periods- or an endometrial ablation.
51 is not old to be peri menopausal. I know many friends who went on to 54.
Not sure what kind of alternative treatment you have in mind? What are you wanting treatment to help with- the irregular cycles of the heavy bleeding? Acupuncture is about the only one that has any real success.