Blood clot with tissue not on period?

Patient : I am not on my period, and I was going to the bathroom, and a quarter-sized clot of blood, and what looks like white tissue came out, there was only a little of the white fluid in the clot. I am thinking maybe I had a miscarriage? I am on birth control, and I start my birth control again today. I've been on it for about 7 months now, and yesterday was my last day of the week of not being on it, and this happened the day before. What could this be, and is this normal? Needless to say, I am sexually active, though.
Symptoms:  Nothing.
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