Pelvic Inflammatory Disease:  (P.I.D.) presents with lower abdominal pain, low back pain, fever, nausea, vomiting and a vaginal discharge.  Pain and fever become gradually worse if infection is not treated.  Infection develops in the uterus and in the fallopian tubes.  This can be often caused by the bacteria of gonorrhea or Chlamydia.  These are both sexually transmitted diseases and both partners need to be treated.  Long term complications of P.I.D. are chronic lower abdominal and low back pain, infertility (inability to become pregnant) and eptopic pregnancy (tubal pregnancy).

PREVENTATIVE MEASURES: Use condoms when having intercourse.  Patients with GC or Chlamydia will have a yellow discharge and a burning pain with urination.  If you have GC or Chlamydia get treated properly and insure your partner is treatedbefore resuming intercourse.

SIGNS AND SYMPTOMS: Pelvic infections often present with lower abdominal pain, low back pain, yellow discharge with a foul odor, fever, nausea and vomiting.  Pain gradually increase with time and is worse with walking and coughing.

CAUSES: P.I.D. is caused by bacteria.  The bacteria most commonly involved are gonorrhea and Chlamydia.  Other bacteria may also cause P.I.D.  Culture should be obtained during pelvic exam to determine which bacteria are causing the infection.

COMPLICATIONS;  Untreated P.I.D. or frequent episodes of P.I.D. may cause chronicpelvic or lower abdominal pain, low back pain, infertility and the risk of eptopic pregnancy.  Chronic infection causes scarring of the fallopian tubes, preventing them from remaining open and the ovum cannot progress to the uterus.  Acute complications involve an abscess around the ovaries and abscess formation around the liver.  For severe episodes of P.I.D. and abscess formation, admission to the hospital and administration of I.V. antibiotics is required.

TREATMENT:  If the P.I.D. infection is not severe it can be treated with a shot of antibiotics and oral antibiotics for 2 weeks.  The partner must also be treated.  If infection is severe, hospitalization is required with I.V. antibiotics.  Intercourse should be avoided until both partners are completely treated.  GC and Chlamydia infections must be reported to the State Health Department.  All sexual partners must be traced to prevent the spread of these infections.

John Drew Laurusonis

Doctors Medical Center

Dr. Laurusonis was conferred his Doctor of Medicine degree in 1983 and has been actively taking care of patients since completing his Internal Medicine residency in 1987 in the Garden State of New Jersey. Dr. Laurusonis has been licensed in four states but ultimately chose to permanently relocate to Georgia with his family and begin a private practice. Through his extensive experience in Internal Medicine, as well as in Emergency Rooms throughout the United States, Dr. Laurusonis saw how traditional Emergency Rooms were often overwhelmed by patients suffering medical conditions that were urgent but may not need the traditional “Level I Trauma Center”.  Patients often waited six to twelve hours to be seen by a physician, were riddled with thousands of dollars in medical bills, and were generally unhappy with the system.

Dr. Laurusonis decided to open an Urgent Care Center instead of a 9-5 doctor’s office. Through the last fifteen years he has received accolades from the community and his patients.  He has expanded his practice to include many cosmetic therapies that have previously been treated with painful and extensive plastic surgery. He has been invited to the White House numerous times, has been named Physician of the Year, as seen in the Wall Street Journal, and has served as Honorary Co-Chairman on the Congressional Physicians Advisory Board

Dr. Laurusonis and his practice, Doctors Medical Center, is open 7 days a week from 7:30 am to 9:30 pm offering such services as lab, x-ray, EKGs, aesthetics (Botox, dermabrasion, sclerotheraby and veins etc.), cold/flu, sore throats, fractures, sprains, lacerations, GYN, Pediatrics, Anxiety/Insomnia/Depression Treatment, skin tag/mole removal, veins, allergies, asthma, physicals–just to name a few. Dr. Laurusonis welcomes you to either make an appointment or just walk-in to see him. Dr. Laurusonis will take the time to speak with you about your concerns–no problem is too big or too small. If you need additional services we have specialist referrals available or we can refer you to the neighborhood hospital emergency room. Give Doctors Medical Center a call–Dr. Laurusonis will be happy to speak with you.

John Drew Laurusonis, MD
Doctors Medical Center
3455 Peachtree Industrial Blvd
Suite 110
Duluth, GA  30096