Rule out the fixable cause first
Before considering anything structural, find out whether your rate is the problem. Existing borrowers routinely pay more than new borrowers at the same lender for the same product, a pattern consumer research describes as a loyalty tax.3 If that is what is happening to you, it is the cheapest thing on this page to fix and it does not require changing anything about your life.
The sequence that costs nothing: find your actual rate, compare it against what the same lender is currently advertising to new customers, then ask them to match it. A surprising share of repricing requests succeed on the first call, because retaining you is cheaper for them than acquiring someone else. How to review your loan walks through it, and the loyalty tax explains why the gap opens in the first place.
If the rate is not the problem
Then the options are harder and worth taking seriously rather than quickly. Extending the loan term lowers the repayment and raises the total interest. Switching to interest only does the same more sharply. Both are legitimate tools for a genuine cash flow squeeze and both cost real money, so they are worth discussing with your lender's hardship team, who deal with this constantly and are not the same people as the sales desk. If repayments are already being missed, free financial counselling is available in every state and it is worth using early rather than late.