Irregular and Heavy Menstrual Cycles After IUD Removal - #50506

I have been having different menstrual cycles recently where my cycle lasts up to 10 to 14 days the first 3 to 4 days are very light pink colour, very light cramping , and then on the 6 & 7 days my cycle gets way heavier also very dark red colour with some clots that are very dark about a few centimetres long 2 to 5 centimetres long and a 1.5 - 2 centimetre wide and the cramps range from a mild to moderate a pad was soaked in 1 hour this lasted a few hours then I went to sleep woke up and it’s back to regular flow dark red colour still with very light cramps I don’t know what is going on with my body I am 38 years old I was on birth control on & off since age 16 do to severe cramping during menstrual but never heavy menstrual cycle I was on an IUD from 2017 to 2023 had removed to get pregnant but had a miscarriage in September 2024 after 2 months do to APS Syndrome which is a blood clot disorder I am on no blood thinners and haven’t had a blood clot ever but I e experienced having 5 miscarriages before finding out I had APS Syndrome and would need medication to carry full term but I justaccepted that I don’t think I will have a baby now I’m older and my common law is 9 years older than me also my egg count has decreased and I don’t know if I’m going through Perimenopause also my common law partner struggles with very low Testosterone is at a 3 level lower than a female and our libido levels are low I am currently on suboxone 16 daily MG and he’s on Methadone 13.5 ML Daily which really messes with our libido can you please let me know what my next steps should be Thank You Doctors 🙏 😊 🙏 😊