Mine got less intense after menopause and the worst ones were when I was on birth control pills, though I didn't know that until I stopped taking them. I thought menopause might end them (as mine were primarily hormonal), it didn't but menopause plus continuous daily low dose MHT has come close, but less intense has been interesting - before I didn't understand when the doctor would ask how bad is the pain, I would say Migraine, like what is the question? There is no scale, it is a migraine. But post menopause they do vary.

I learned that one of the things a migraine does is fuck with serotonin receptors so you experience the pain without any accompanying euphoria, that is part of why it hits different from other pain but the way I've described it to people is imagine the worst hangover you've had then multiply the headache part of it by about 10x.