I hate it too, but rarely was it associated with my migraines. But they just went away many years ago, and even headaches have been rare since.
My headaches have been tapering off over the years. And with medication, usually the worst I have to suffer is the blurred vision and sleepiness from the medicine.
Before I knew they were migraines, I called it the 4 hour flu, because it was about 4 hours from the time my vision blurred until the hurlage, which was every time. Makes me nauseous just thinking about it.