Hi @ryman, I’ve had migraines since age 16 and am 45 now; I only had the auras during my late 20s. My mother and older brother have also both suffered migraines since their teens. My 14-year old daughter has horrible migraines which start with the aura prior to the pain and nausea/vomiting. My husband, his father, and his daughter all have painless aura migraines.
When you go to your appointment, be sure to take a journal of timeline/frequency, intensity, and differences/changes in symptoms. Look back and see if there have been any changes since your symptoms worsened/changed… lifestyle changes, changes with diet, a new medication, etc. Be sure to tell the doctor which medications you’ve previously-taken to treat the migraines that have helped or not. Be sure to tell them whether or not light/dark, noise, hot/cold, physical activity, etc. make them worse or better. Good luck!