Tissue loss from vagina plus pain have i miscarried

Patient : Im a fourty one year old female been ill since november 2010,irregular periods,heavy menstration,pelvic pain,ive been diagnosed with candida,uterine fibroids,endomitritis,cervical polyop removed august 2011,my last two periods have been around 8-10 days apart instead of the usual 21 days and lasted 12 days instead of six,about three days ago i felt a urge to push down and this peice of tissue came from my vagina in the photo the others are tissue ive lost since may 2011 drawings can you help me find out what the tissue is im scared ive miscarried,also had pale pink discharge clear liquid plus blood chronic pain january 2013 fever and a strong pulling in my womb area and urge to push since january 2013 every six weeks approx
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