I am new to the forum and have read the articles on this site. I am 45 and a chronic migraine sufferer and had it in control for a while with diet, etc. In the last year it has gotten very bad and clearly related to my hormonal changes. It starts a week before menses (I can feel it along with my mood changes, etc) and lasts of and on for a week after the start, and then comes back during ovulation again. And my cycles are shortening to 25 days, it seems like except for a week, I have migraine all the time. No aura. Medications consist of NSAIDS+Imitrex. My sister who is older had the same (migraines got worse as she went menopausal) and she went for hysterectomy recently. Since then her migraines are gone. Should I consider it? I am looking for an OBGYN to discuss this with. I have tried birth control pills once and they haven't worked. I would appreciate any advise on the course of action.