Hi Everyone

So I'm 53, been on HRT for about 7 years. Currently on 4 pumps of Oestrogel (increased from 3 about 6 weeks ago) and Utrogestan orally 12 nights out of 28. Also using Estriol vaginal cream 3 times a week alternated with vaginal moisturiser.
So over the past year or so, not every month but at least every other, I have started to suffer with dreadful cramping along with a migraine when my bleed is due to start and this seems to be worsening. This month the cramping and migraine have dragged on for a number of days which is a first. I'm taking regular paracetemol, warm wheat bag, and sumatriptan if required.
Is there anything I could/should be trying/adjusting to help any of this? Or is it just another lovely part of my meno journey?

Thanks in advance.
Ali x