Clot or something else?

To start I have an IUD so i know its unlikely for me to get pregnant on it, but I know there is always a chance. Well 2 months ago I missed a whole month of my period, then last month it came at the beginning of the month and now this month I'm 5 days late. Well today I wiped and had this. I took a hpt yesterday and it came back negative. I'm wondering if this could possibly be uterine tissue or if it somehow might be an early miscarriage? I don't know honestly. I had some cramping not too long ago like if I was going to start my period but nothing unbearable or out of the ordinary. Idk where else to post this so I'm hoping someone can help with some advice. Thanks.