Thanks for the further information.
Following is the impression by the information you have provided;
1) You have migraine which seems to have aggravated.
2) Sleep issues
4) Stress, anxiety related to above all and may be some other issues too.
I would take the fertility or trying for conception issue first. Please do not stress over it. It is a natural phenomenon and would happen spontaneoulsy. Any stress or anxiety can change the hormone subtly and in act may delay it. So counsel is to enjoy and let the nature takes its own course.
Now coming to migraine. You may not be taking any medicine for it because of your pregnancy. I understand medicine can harm the baby so none of them be entirely safe. But if these headaches are affecting your quality of life seriously, you may consider some of the medicine.
There are two types of medications used for the treatment of migraine;
1) To abort the attack
2) To prevent the headache
Valproic acid, gabapentin
Calcium channel blockers
Beta-blockers, tricyclic antidepressants
There are dietary triggers known which should be avoided. Common triggers are
b) aged cheeses and meats,
c) wine and beer
d) citrus fruits.
Preventive medicines for migraine may be safe so you can talk to your doctor about it.
A physical illness is uncommon with the sleep issue. An off and on sleeplessness need to dig the cause for underlying anxiety, depression or other related issue. A thorough evaluation by the history is done to reach to a conclusion. Accordingly the medical treatment is commenced. The precipitating factors can be;
3) sleep-wake schedule changes,
5) other sleep disorders,
6) medical conditions
7) work-related issues
8) family problem,
9) health events.
All these in isolation or in combination play problems in sleep issues. Good sleep cycle, handling the specific problem, counseling, cognitive-behavioral therapy, medications are employed for the treatment.
Following measures are helpful;
1) Avoid if you do;
a) caffeine or alcohol use,
b) environmental noise,
c) inappropriate room temperature,
d) watching TV in bed.
e) avoid large meals in dinner.
2) Relaxation techniques
3) Acupressure and acupuncture.
Anxiety and stress can be treated by following;
Anxiety can be treated by the following measures by yourself;
1) Cognitive-behavioral therapy (CBT) and operant-behavioral therapy (OBT); done by a psychologist.
2) Relaxation training and biofeedback.
4) Acupuncture and acupressure
7) Group sporting activities
8) St. John's wort
10) Valerian root.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
Thanks for using Just Answer.