Hi ! Good morning. I am Dr Shareef answering your query.
Possibly you have a traumatic cervical stenosis following the normal delivery that was rough according to your history. The IUD added to the problem for which you had to get it removed. The abnormally smelly discharge per vagina could be due to a persisting
vaginal infection, which could be investigated by a vaginal swab culture sensitivity, a urine routine and culture sensitivity test and an abdominal
ultrasound.
The pain during passing stool is due to the
constipation which might have resulted in a
fissure in ano. This needs regular sitz baths, an anti inflammatory, and a
stool softener along with an antibiotic if need be. You have to also go for a high roughage diet with enough liquids to avoid constipation.
Further management would depend on the reports of your investigations along with a physical examination of yours by your treating gynaecologist.
I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.