Hello! Welcome and thank you for asking on HCM! I carefully read your question and understand your concern. I would like to know the frequency of your migraine attacks. What is your age? What about your past medical history? It is necessary starting a preventive therapy to reduce the frequency and the severity of migraine attacks. I recommend starting a betablocker (propranolol) or topiramate (usually starting in slow dosing, increasing gradually, to avoid adverse effects). Meanwhile, I would also recommend avoiding triggering factors like coffee, alcohol, chocolates, sleep deprivation, etc. You should discuss with a neurologist on the above options. A brain MRI may be needed to exclude other possible causes, although your headaches seem to be typical migraine. Hope to have been helpful! Best wishes, Dr. Aida