Extreme fatigue early Migraine warning sign and only at night

[Italybound62]

I'm wondering if anyone else has similar experience with migraines. Mine are always the same pattern. First I get extreme fatigue which sets in during early evening. This I now know is my early warning sign.

Then slowly there is a very dull mild headache...almost as if maybe the real headache won't develop. Then it may start to ache more and more. I fall asleep at bedtime exhausted usually with a little head pain or none yet at this point, hoping it will go away. I might take a pain medicine depending on how bad it is.

But then I wake up in the early morning hours (1 - 3am) with extreme head pain that lasts for 4-6 hours. I used icepacks on my head. I take Tylenol or Ibuprofen, or sometimes Exedrin if it is really bad. Mine are always at night like this.

Question: Anyone else experience this odd, extreme fatigue, wiped out feeling, early warning sign and know what it means? What about also only getting headaches at night / waking up from sleep ?

are these cluster headaches? Migraines? They happen almost daily and then might stop for a week and then start again. Sometimes I get 15 per month.

[Cat00]

My migraines are often like this. I'm an insomniac so when I get this extreme tiredness I sometimes fall asleep on the sofa for 20 minutes around early evening which is very out of character for me. My husband will start putting the kids to bed bc he knows I must be broken, regardless of how tired I am I still don't sleep much normally and I never nap during the day.Often my worst migraines are the ones I wake with although I do get many that develop at other times a day, this is the most common pattern for me.

I also get migraines for around 15 days a month and have done for the last 25ish years. Prodrome is a funny thing.