I started having mensrual migraines also. My obgyn told me I was in peri-menopause and the fluctuations of estrogen cause them. I was placed on Effexor xr and bcp, which stopped all the tension and the bloated painful breasts, but still have the migraines mid cycle (when I now have my period). I can take imitrex, but it causes such cardio contriction, that I can't do my usual runs and have coldness in my face, dizziness, and extreme sleepiness with it. so I can't take it till bed time. I have tried fioricet, no help there. Anyone else have this problem. Also extreme sensitivity to light and noise. I want my life back!