Mrs B had severe migraines and they were linked to both stress and the menstrual cycle. Was sometimes really bad and lasted a few days. Tryptanes did work, but at the end she did not know which was worse, the side effects or the headache. She was knocked out by Sumatriptan. Luckily, after the menopause the migraine completely disappeared. Fingers crossed! Not sure if that is applicable for the penopauze too, and I am an endocrinologist.......!!🫣