Regarding persistence, all the women with abnormal pap smears will be initially included. There are approximately 52 subjects with abnormal pap smears. Of those, all paper charts with follow up pap smears and/or colposcopy will be included. Any woman who has not had a follow up pap smear recorded will be eliminated from the analysis. Demographic information will be abstracted from the chart. Similarly, risk factors will be collected as above. Persistence will be the calculated by the number of subjects with two sequential abnormal pap smears or colposcopies divided by the total number of women who have had abnormal pap smears.