How is it caused that low progesterone leads to natural miscarriage?

Patient's question:

Hello doctor! I went for a detailed check-up yesterday, with progesterone around 4 and HCG over 2,000. Inside the uterus, they saw a shadow of 0.6x0.4 without a yolk sac or fetal heart. The doctor said it was too low and didn't prescribe any medication to prevent miscarriage, suggesting I let it happen naturally. Three days before the check-up, I had black discharge, and today it has already started like my period. The symptoms are similar to menstruation. What kind of help I need: Is it okay for me to wait until it's all over and then go to the hospital for another check-up? I want to know what I should pay attention to during this time. Is it good for me to stay in bed and rest at home every day? What should I pay attention to in terms of diet?

Doctor's answer:

Hello, if progesterone levels are low, it can easily lead to miscarriage, so it's important to rest well and ensure sufficient deep sleep. Nutritional intake must be enhanced. If there has been bleeding, it's necessary to regulate the body now. Take some Acanthopanax extract capsules appropriately, use anti-inflammatory medication to promote uterine recovery, and then take progesterone. During treatment, patients need to follow a balanced diet, maintain regular routines, and actively participate in physical exercise.

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