What medical treatments treat frequent epistexis when cautery doesn’t work?

I received a cauterization to my right nostril a month ago after two years of frequent, heavy and quite frankly terrifying nose bleeds. I did everything from nasal sprays, ointments, humidifiers, sneezing with mouth open, avoided blowing my nose and yet here I am I have had three nose bleeds since. I woke up at 3 am to a very heavy 30 minute bleed, pinched my nose, sprayed afrin. I tried for two years not to let it control my life, but it did just that. I began to isolate myself. Not leaving my house, not going to any stores. I finally said enough was enough and saw an ent, he looked at it said a possible pyogenic granuloma and cauterized it. It seems it isn’t working.

I’m not one to come to the internet and express my emotions, but I am at my wits end and quite frankly I hate to admit this, I don’t want to live anymore. Because of nosebleeds, I know it sounds ridiculous. But that is how bad and debilitating they are, my anxiety is so bad every day, every breath I take I’m in fear it will trigger a bleed. I’ve been alone during such severe bleeds I thought I would bleed out alone. What do I do? What are my options at this point? Is this it for me? Is this the life I have to accept? I know, anxiety meds are needed, but I want to fix the root of the problem. I am I completely screwed? Anyone else experience this before? I have a life to live, I have a family, a daughter. My quality as a mother has significantly gone down, I feel so guilty.