Conversation: The conversation between human and AI assistant.
[|Human|] probably starting about three oclock this afternoon I noticed a fishy smell coming from the vaginal area and a white discharge. A few hours later I checked to see if maybe I was developing a yeast infection and found a large lump on the outside of my cervix close the opening. Since then I have developed some back pain and a fever. I do have an IUD in, have had it for almost 9 months. should i go to ER or?
[|AI|]  Hi there, and thanks for sharing your question on Chat Doctor. Fishy smell from the vagina is usually associated with bacterial vaginosis, a bacterial infection of the vagina which is very common. Some women with bacterial vaginosis (BV) remain symptom-free for a long time. I am wondering if this is the case with you. Insertion of an IUD carries a risk of infection, BV is among the infections that can occur post IUD insertion. I am very concerned for you - the large lump outside the cervix, back pain and fever suggest a pelvic infection. I am worried that the lump might be an abscess, You need to urgently go to the ER - have them work you up. A pelvic infection can result in acute and long term complications if left untreated. Take care. Chat Doctor.