Can low progesterone at three and a half months lead to fetal demise?

Patient's question:

I had a progesterone check at the hospital when I was 11 weeks pregnant. The result was 22.73. The doctor said it was too low and prescribed progesterone for me. After taking it for a week, I went for a follow-up test. The doctor said my progesterone level had improved and asked me to pay attention to maintaining the pregnancy. Then, they prescribed some additional medication to take at home to support the pregnancy. Now I'm three and a half months pregnant and have had a small amount of bleeding. Yesterday, I had another check-up, and the doctor said my progesterone level was still low.
What kind of help I need: Will a low progesterone at three and a half months lead to miscarriage?

Doctor's answer:

Currently, if there is a low progesterone level in early pregnancy, it is necessary to promptly supplement progesterone to avoid affecting the normal growth and development of the embryo. A low progesterone level can lead to abnormal embryonic growth and development or miscarriage. Based on your description, if it is confirmed that you have a low progesterone level, it is recommended to actively supplement progesterone treatment. After treatment, it is necessary to re-examine to confirm whether the progesterone and gestational sac are normal. Pay attention to symptoms such as abdominal pain and vaginal bleeding in daily life. If there are any abnormalities, seek medical attention promptly. You are already three months pregnant, and if you have been undergoing regular prenatal check-ups and the fetus is developing normally, there should be no problems.

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