Inclusion Criteria:  Age > 25 years old and < 65 years old Sex: Female Positive HPV test within past 6 months HIV+ women  Exclusion Criteria:  Pregnant women (cannot perform a cervical biopsy on a patient who is pregnant unless absolutely indicated) Women with a negative HPV test Patients incapable of giving informed consent Women with a history of cervical cancer Pelvic exam concerning for cervical cancer or cervical infection