Miscarriage

Sally
So I had a misscarriage a few months ago and so have been on the pill ever since. We have sex a lot without a condom because I thought I was protected. But yesterday after being a just over a month late for my period this (picture) came out of my ... I had pains for a while and bled moderately. I can't get to the doctor right now so looking for advice. Help do you think it's another misscarriage?!