Mine usually start with my neck tightening up. Pain moves up the right side of my head, my vision "haloes"...lights seem to just glow. Sound is amplified to what seems like a thousand times, a bird chirp outside the window, will seem like it's sitting on my shoulder screeching into my ear. Repetitive noises have the same effect as chalk screech on a blackboard. My face above and below my eyes throb. (I even have had "windows" put in my sinuses)
I need a dark room, tv on low to something with little change in sound - a talk show, or Fox - to drown out any other noises. A bit of chocolate, 2-4 advil with a glass of water, if there's no let up, another 2 in an hour. Anytime I have tried prescription, I throw them up.
I first got them in college. Very intermittently. They went away for several years until I got pregnant with my first child. Had 2 while I was pregnant with her...and honestly thought I was going to die, because there had to be a reason for my head feeling like it was going to explode. Didn't have any more until after my second one was born about 2.5 years later. Have had them ever since.
Went to a neurologist ( a woman, which I highly recommend for another woman), as I went through a time when I had one most everyday for 8 months. Turned out, they were muscular in origination in my neck, but progressed to full fledge migraine by late afternoon. Took Flexeril for 2 months, to "break the cycle" as she called it and ease the spasms in my neck. That stopped the every day ones.
She had me "track" the ones I continued to get. They seemed to be tied into my menstrual cycle....5th day of my period to be exact. I continued that way, even after a hysterectomy. Then I got them on the 5th day of my daughter's who was still living at home!!!
She moved out, and the frequency stopped. Apparently, hormones can be a big contributor to them. My daughter was on daily meds for them when she was in her mid teens, then she seemed to almost grow out of them...as she aged and her hormones stabilized a bit, the headaches became much less frequent, though she has had them more since her second child was born.
Now I get them if riding as a passenger, in a car on wind-y or mountain-y roads. Or in someplace with really bright lights, or very loud noises. Most of the stuff I can avoid, but the road thing is hard to do, living where I do...in the foothills of the Smokies.