Hi, I've suffered with migraines since menses began, generally 1 or 2 headaches per year thru adulthood.  But as peri-menopause began the frequency increased to 4 headaches per month.  Three years ago I began bio-identical hormone therapy (bHRT).  While bHRT helped with most of my peri-menopausal symptoms, such as vaginal dryness, loss of libido, hot flashes, insomnia and mood swings, it has done little to decrease the number of migraines I suffer per month.  I do believe that the severity of the migraines has declined, however.  Whether from bHRT or becuase I've switched to sublingual Zomig, I am not certain.  When aura begins I immediately take three ibuprofen gel-caps, use the sublingual Zomig and head for a dark room to relax for 1/2 hour.  It took me years of trying different things to find this solution, and it is working like nothing else ever has.  But everyone responds differently to meds, and you may have to try some other combination.  I hope this information was helpful to you.  Good luck and good health!!