I did see an endocrinologist in hopes of treating my perimenopausal/hormone issues, which included greatly increased migraines. However the doctor I saw did not seem to have much specific knowledge about migraines at all. I felt like I was being treated with a "cookie cutter" approach. He also was hugely expensive so I ended up dropping him and then consulting a menopause specialist and then a migraine specialist (trained as a neurologist) and doing an enormous amount of independent research myself. It is through the care of the migraine specialist that I now have a treatment plan that seems to be working for me. This plan includes the use of bio-identical hormones and vitamin/mineral and herbal supplements as my daily preventives as well as standard triptans for abortives. I feel lucky that my migraine specialist was willing to prescribe hormone replacement for me in consultation with my current gynecologist when I "failed" standard migraine preventives. I know everyone's situation is different, but I hope this is information helpful to you.