My attacks occur mostly during the day. Without medication the pain of each attack is generally the same. The first is the worst. Each is worse than the last. They are all the same.
Subsequent attacks are less painful.
It varies with use of abortive treatment. It works best at the start of an attack. It works sometimes. It seldom or never eases my pain. Describe a typical untreated attack- its progression, peaks, duration, and severity.