HELP! Miscarriage or Period

Kristy

hey guys so at the end of december, i had to go see my gyno in order to receive a new yearly supply of birth control. i was off it for a total of 1 week.my fiancé and i are sexually active and we do not use other forms of protection besides me taking the pill. about two weeks later my boobs started hurting real bad only for a few days then went away. my right side by my ovaries also started hurting and i was also cramping. fast forward to today and today was the first day on my period and i wiped and this was what came out.. i’m not sure if it is a fetus or if that is just a blood clot. please help! i apologize for the gruesome picture but i seriously need some help. my periods are never bad since i am on birth control.