I'm not sure where you got the term "complex Migraine," but that's not a type of Migraine. Some doctors use ther term, but they use it differently, so it's very confusing and difficult to know what type of Migraine you might actually have, if you have Migraine.   To simplify matters and make it easier for people to get information and treatment, doctors usually go by the gold standard for diagnosis, the International Headache Society's International Classification of Headache Disorders, 2nd Edition (ICHD-II). You can read more about the importance of a correct diagnosis in The Type of Migraine Does Matter.   What you describe can be fairly typical for Migraine, however, that's something nobody can confirm for you via the Internet. The studies you've had would be, in most cases, adequate, but again, nobody can say that definitively via ther internet.   Topamax is generally not considered a good medication for a breastfeeding mother since it's safety has not been established. There are over 100 other options for Migraine prevention. You can find a list of them in Migraine preventive medications - too many options to give up!   It might also be helpful for you to read about the possible phases of a Migraine attack and their possible symptoms in Anatomy of a Migraine.   All of your questions are excellent, but they should be answered by your own doctor. If your doctor isn't able to help you, it may well be time to consult a Migraine and headache specialist. It's important to note that neurologists aren't necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.   I hope the information I've provided will make it easier for you to ask your doctor these questions and get some answers.   Please let me know how things go?   Good luck, Teri   xx