I have cluster headaches 2-3 times per week, depression and fibromyalgia. providers ruled out ms last year but i still keep getting more symptoms.

Depressive symptoms: Many times, depressive symptoms are expressed in physical disorders: headaches or generalized pain. If you are not under care of a specialist, you need to have a full work up for each condition, and start antidepressant treatment right away. There are many associations between pain and depression, and the treatment can be difficult and take long to show success. Don't give up !

Discuss symptoms: With your doctor who knows your history, and can asses your symptoms.

Co-morbidities: Cluster headaches are miserable, if you possess the classical syndrome. Ms patients do have higher incidence of headaches, but sounds like that concern is over. You would do best having specific treatment for the fibromyalgia, which might eliminate the other problems. Drugs such as savella (milnacipran) and Cymbalta would affect many of your problems.

Try oxygen: Aside from drugs, supplemental oxygen during the attack may help. I wonder if botox, which has been approved for frequent migraine, could be tried for your condition. Consult a neurologist.

Cluster headaches: You may find you can prevent your cluster headaches with a calcium channel blocker or other preventive medicine. When you get them, you may find oxygen is helpful. It's not wrong to wonder about MS, but these symptoms do not strongly suggest MS.

Muscle spasm: 40's female with fibromyalgia has cluster headaches & depression. In my experience, undiscovered chronic superior trapezium muscle spasms manifest as "headaches". Non-restorative sleep due to chronic pain begets fatigue & depression. See Osteopath. Massage, topical cannabis lotion, biofeedback, trigger point injections, iontophoresis, & acupuncture focused on these muscles might benefit.