Birth control

So ladies...I need some advice! I am 19 (almost 20) and have been on the patch for around 5 years. I started birth control young because I have SUPER bad periods. I have now become sexually active in the past 6 months and I find the BC isn’t helping my periods as much as they used to. I’m getting worsening cramps and alarmingly large blood clots....I had these before BC but they seemed to be less frequent until recently. I have used the patch correctly every single month so I know that’s not the problem lol. I see my gyno this week and was going to ask about being put on a higher dosage or ask about changing my BC method all together. Have any of y’all switched from the patch to something else or upped the patch dosage ? If so I need some advice on which one I should look into. I want to have some options to discuss when I go this week. Thanks!

PS. I’ve been reading up on signs and symptoms of endometriosis because they match a lot of my issues and my mom had it as well....should I bring that up too?! Sorry for all the questions 😂