Hi Sandra W
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
It also depends on where you are in menopause. If you are post-meno ( ie without natural period for at least 12 months) then you take it either 25 days out of 28 (this might give a small bleed if womb lining has built up), as Dotty says or every day as Mamachunk and this should not give a bleed at all - but can cause spotting depending on the oestrogen dose.
If you are peri-menopausal then you should be taking it 12 days out of 28 at 200 mg.
The 1st of the month thing is presumably so it's easy to remember! However as you say - a month is usually 30 or 31 days so then it almost becomes cyclical ie 25 days out of 31....
If you are post-meno ( or even very late peri) just try it and see ie 1st of every month - and see how you go?
Hurdity x