TMI is this a blood clot or a MC?

Amy

was suffering with terrible body, ab and back severly. I took a hot shower and then used the toilet cuz I get something coming out of me and this was hanging outside my vagina? I have only started the pill the last week of aug and have been late taking my birth control because I would forget to take it with me to my night classes recently so it’s been almost two weeks I’ve been on my period and this happened today! Help...