Sorry you feel the need for more than Vagifem
But your situation is different to mine
I went Ovarian failure pre meno started at 37 last period 42 I tihnk
Then I went on Orthogynest cream 2 years later mini pill and Ovestin till 2010 it had been failing for just under 2 years
I developed severe atrophy Ive been on Vagifem from Feb 2010 but in December this year I did a 10 day reload
It started to not work and I was terrified as at nearly late 50s I cant take HRT and cant take it medicaly anyway
The thought of Atrophy oh paion and ache so have you done a reload if not then first things first try a 14 day reload
See how you feel if that works then yayyyyyyyy it seems that advice is being given to reload yearly now
Im on Vagifem 25 they still sell it here in Ozz but for how much longer?
Other than that Im sorry I dont know anything about HRT and Migraines crap MUM had them sound like yours xxxx