Risk factors include Previous PID Presence of bacterial vaginosis or a sexually transmitted infection Other risk factors, particularly for gonorrheal or chlamydial infection, include Younger age Nonwhite race Low socioeconomic status Multiple or new sex partners or a male partner who does not use a condom Douching Symptoms and Signs of PID Pelvic inflammatory disease commonly causes lower abdominal pain, fever, cervical discharge, and abnormal uterine bleeding, particularly during or after menses.