I took the first dosage of Misoprostol and started bleeding. Should I take the second dosage?

Yes, you must take the second dosage, despite the blood loss. Scientific research has proven that the second dosage increases the effectiveness of the treatment and reduces the number of incomplete abortions (i.e. tissue remains in the uterus), which means that no follow-up treatment is necessary. If the abortion was successful, you will experience less cramps and pain than after the first time you used Misoprostol.

To make sure the treatment was successfull, you could also go to a hospital to get an ultrasound so you can check whether the abortion was successful. You could say that you think you had a miscarriage. (if you used the tablets vaginally, you first have to check carefully with your fingers whether all tablets have been dissolved properly) In countries where women can be prosecuted for having an abortion, it is not necessary to tell the medical staff that you tried to induce an abortion, you can also say you had a spontaneous miscarriage. The doctor CANNOT see the difference (unless there are remains of tablets in the vagina). The treatment is also the same.

If the abortion was not complete, you mighjt need a curettage, also known as vacuum aspiration, during which a doctor will remove remaining tissue from the womb. Doctors have the obligation to help in all cases.