I don't think I've ever had one to be honest (that I know of anyway!!). I get a lot of headaches, usually for a few weeks at a time then nothing for a month or more then they come back for a few more weeks etc.
I'm still peri so no HRT or other medications. I've felt truely terrible this month inparticular though and it feels hormonal so something is definately going on with me!
I started to get migraines for the first time before I was even peri-menopausal - it was the couple of years leading up to peri. I had no idea they were migraines until about 5 years ago as I had never had them before - I just thought they were horrible 3 day headaches. Mine used to come on just before my period. The symptoms were feeling sick, light and sound aversion/sensitivity,extreme fatigue, carb cravings, horrible foggy head, light-headed. Face numbness sometimes and then eventually it would be that my whole skull was sensitive so I couldn't sleep very well unless lying on my back because of the pressure! They would wake me in the night - a constant needling headache.
I put up with them for well over 10 years - and then this year someone told me about Sumatriptan which stops them in their tracks - amazing magic pills. The difficulty is knowing when a normal headache is going to become migraine as you can't take too many of these tabs per month. They will be less bad for you than cocodamol I'm sure.
If you keep a diary and see if there is a pattern to them perhpas the Sumatriptan might help. I can usually tell with mine as they start to come on in the night - the needling slight headache that wakes me and makes me restless. Perhaps you might be able to, if they are migraines.
If you get another one or more and there is no hormonal pattern do consult your doc just to make sure all is well.
What are your periods doing in terms of frequency?
Hope this helps
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Hurdity x