I took the first dose of Misoprostol and started bleeding. Should I take the next doses?
Yes, you must take the next doses, despite the blood loss. Scientific research has proven that the advised dose 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 successful, you could also go to a hospital to get an ultrasound so you can check whether the abortion succeeded.
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. The treatment is also the same.
If the abortion was not complete, WHO advises to treat this or with misoprostol (2 tablets under the tongue) or with a surgical procedure known as vacuum aspiration, during which a doctor will remove remaining tissue from the womb. Doctors have the obligation to help in all cases. If the clinical condition of the woman is stable and she has no other signs of complications, she can also wait until after her next menstruation, but the time having complaints may take longer.