About one quarter of women in Bangladesh are denied menstrual regulation (MR) due to advanced gestation. Little is known about whether women denied MR seek abortion elsewhere, self-induce, or continue the pregnancy. In-depth interviews conducted with 20 women denied MR in four districts in Bangladesh indicate a need to:  raise awareness about legal MR services; provide information to women on where, how and when they can access these services; train more MR providers; improve the quality and safety of second- trimester services; and strengthen campaigns to prevent unintended pregnancies.