Maybe he doesn't realize how simple it is now? Honestly, he needs to have it done (sorry for the straight talk) especially since he is aware that you are going through all of the difficulties.
Perhaps you are not in that serious of a relationship, though?

Wait, wait, wait....you mean to say that wanting to rip someone's head off is NOT the norm due to hormonal changes?!?!?

Bleeding so much can cause anemia. So if you are getting tired a lot, up the iron and tell your gyn.
Also perimenopause could be happening. Tests are not definitive for it.

I would have a chat with your guy...a persuasive chat, if you know what I mean. "Illustrate" the negatives of bleeding all over the place and being all cranky