My sister was diagnosed with HPV 9 yrs. after her divorce; she thought she had been in a monogamous relationship, but now knows it was not on his side. After several abnl. PAPs, colonoscopies, LEEP, then hysterectomy 11/13 leaving one ovary intact, she had subsequent normal PAPs, including one in 11/2014. A PAP done last week has come back abnl., and she has been referred for another colposcopy. Why is her PAP now abnl. and what steps should she take? What is possible/probable treatment?