I am a 36 year old female and have had migraine headaches with cyclic vomiting for 26 years. Before that I have had a history of abdominal migraine with bouts of vomiting and cramping.  The headaches started at the onset of my period. I currently have no children and my mother, grandmother, and first cousin all have a history of migraines.  My migraines have been worse than ever that last two years averaging 20-30 headaches per month.  I have long suspected that my headaches are related to hormones but have never gotten my hormones checked.  Why I believe this is that I can always predict my ovulation and period by my headaches. I have also been in several car accidents, on in which I was hit on the right temple.  I go to a neurologist where I am currently taking  50 mg x2  topomax, 5 mg oxycodon 12/month, migranol for rescue, zofran for nausea. I see a physichiatrist for depression, sleep disorder and anxiety and am taking 60 mg of cymbalta and clonipin as needed.  My lifestyle is greatly impacted and I live my life in pain.  I feel as if my physician does a cursory job treating my symptoms but I feel that there is more to the problem.  I was wondering if seeing an endocrinologist would be an approach that I should follow.  I am located in the Boston area and would be willing to recommended clinic there. I am desperate for some relief. Any help would be appreciated.