HPV is very common. 50% of the sexually active population int he US has it. Most of the time it means nothing. Most people have no manifestations. If they do get them, it is within two years of exposure, but could be longer. The main symptoms are genital warts or abnormal pap smears. You can have low or high risk types of HPV and get either. The point of colposcopy is to look at the tissue under magnification to see if anything looks like pre-cancer or cancer, and to get a biopsy basically to provide more tissue for a diagnosis. Biopsies should not be done during pregnancy unless cancer is suspected, because the cervix will bleed too much. If you have low grade lesions, as Carmen said, they can be followed with more frequent pap smears--and pap smears usually go back to normal in a year if the immune system is functioning properly. If they persist, no big deal, just more pap smears. If you have high grade lesions, treatment is warranted, to prevent progression to cancer (up to 20% chance of this). Again, if you are pregnant, treatment should wait until after birth. Even if a person has cancer, unless it is really advanced, treatment can wait until after birth, and some would have the woman be induced early. In no way does HPV, low or high grade cells or even cancer affect yoru fertility. I encourage you not to worry, and to ask you midwife or the doctor she sends you to for more information.