#2 nailed it! Progestin-only options are typically safe for people with migraines with aura. Options include a hormonal IUD, pill, implant, or shot*. All can ease cramps. If your migraines don’t include aura, it also may still be safe to use estrogen and it can sometimes relieve migraines, but it can also make them worse, so work closely with your doctor if you’re interested in that. *I don’t recommend the shot unless it’s a last resort due to its unique side effects.