Migraines/headaches

Ch
I've been thinking a lot about medication and have been feeling ever so cautious as me and my fiancé are trying to conceive. I was wondering how did any of you deal with pain management when it comes to migrains, headaches etc. I've been a sufferer for 13 years and have been on some heavy duty pain killers etc. I get them at least 4 times a week sometimes more. What do you recommend? 
Meditation, acupuncture, massage, heat, ice packs are all things that barely touch the sides of my pain. If you'd ask me when I have a bad head if I wanted you to chop my head of I'd agree. (Uk)