Findings that suggest a specific cause or other disorders include the following: Fever: Pelvic inflammatory disease (PID) or herpes simplex virus (HSV) infection Cervical motion tenderness: PID Vesicles, vulvar or vaginal pain, and / or ulceration: HSV infection Punctate hemorrhages (strawberry spots): Trichomoniasis Women should be evaluated clinically for PID and tested for chlamydia and gonorrhea, bacterial vaginosis, and trichomoniasis.