I also have migraines. Mine are hormone related. I have a prescription med that works specifically on those type of migraines.
I'm fortunate, though. Sometimes I can't tell the difference between a migraine and a bad tension headache, so my migraines must not be as bad as some of you. If I don't have a queasy stomach, the only way to tell for sure is to take the migraine med. If it works, it's a migraine. If it doesn't work, it's a tension headache. I don't have sound or light sensitivity. I just have a bad headache that doesn't respond to OTC meds.
My mother had cluster headaches. It was terrible to see her suffer with them for days. She would never go to the doctor, though.
Jill