This started with me about 4 years ago when I was 36. I went from a period every 4 weeks to every 3. Then one time it was just two weeks. My PMS was worse and my period was heavier with substantial clotting. Some periods I was afraid to leave the house for the first day or two for fear of an embarassing accident.
I went to my GYN and she order an endometrial biopsy and bloodwork to rule out any kind of cancer. Then I had an ultrasound to rule out other types of cysts or endometriosis. All came back good, so she recommended an endometrial ablation. It basically scars the lining of your uterus to prevent or decrees subsequent periods. It's day surgery and leaves your ovaries intact so you don't need hormone replacement therapy.
I had this magic procedure on Dec. 4 of last year and haven't had a period since. Life is good.
It isn't a form of birth control so it is possible to still get pregnant. That can be lethal. So, if you want to have children or don't want to use another form of birth control this isn't the thing for you. However, if those aren't issues, it's worth talking to your Dr. about.