Hi Pinkjan -
Due to worsening, hideous migraines, after many years I took a drastic step and gave up HRT c.6 months ago as I felt it was making the migraines worse due to creating fluctuations (I was on a low dose, long cycle sequi regimen) - and I was right! - the migraines lessened greatly - I haven't had a 4 day monster mig since I stopped.
I'm having Chinese acupuncture for both meno and migraine - I found a very experienced acupuncturist via the British Acupuncture Council. Planning to have 12 sessions - so far I've had 3 and not the slightest twinge of a migraine which is absolutely incredible after *years* of suffering. It's about addressing the route cause of migraine created by imbalances in the body. The acupuncturist believes HRT masks/prevents the biochemistry from finding natural balance, adjustment to lower levels of hormone and producing its own hormones via adrenals.
I couldn't tolerate any of the triptans and Amitriptyline made the migraines worse.
We're all so different and at different stages on the meno journey - however acupuncture could be worth a try ... which HRT are you on, are you peri or post?
Good luck with what you decide.