A 21-year-old woman presents for her well-woman examination. She has been followed by her physician for many years and has no complaints. She has been sexually active for a little more than 2 years with one mutually monogamous partner. She does not smoke, has never had a sexually transmitted disease (STD), and uses oral contraceptive pills for contraception. On speculum examination, her cervix appears normal (Figure 88-1) and a Papanicolaou (Pap) test is performed.