Serving Strong: Cervical Cancer in Military Families and the Power of Prevention

By the Cervivor Communications Team

A few days after surgery, Alegra Woodard decided she was ready to get back to normal.

Recovering at home, the military spouse and cervical cancer survivor laced up her shoes and started a step aerobics workout. Within minutes, she stumbled and fell hard.

Lying on the floor, she wasn’t just embarrassed, she was terrified, thinking, “What if I tore my stitches? What if I hit my head? What if I couldn’t get up?”

Looking back, Alegra — now cancer-free for two-plus decades — realizes the moment represented more than a fall. It revealed something deeper about military life.

“As a military spouse, we have a tendency to want to demonstrate that we’re as brave as our spouses,” she says. “That we’re able to cope with adversity and pull ourselves together as part of our own contribution.”

Cervical cancer survivor Alegra Woodard smiles with her husband while sharing her experience with cervical cancer in military families for Cervivor.
Cervical cancer survivor Alegra Woodard and her husband, Bobby, an Air Force veteran, are chapter leaders for the National Cervical Cancer Coalition (NCCC) in Northern Virginia.

It’s one of the qualities that helps service members and their families weather deployments, relocations, and long separations. But when cervical cancer enters the picture, that same resilience can sometimes make it harder to ask for help — or even acknowledge that help is needed.

As Americans celebrate the 250th anniversary of Independence Day and honor those who serve, it’s also worth recognizing the families who stand beside them through every assignment, every challenge, and sometimes, every cancer diagnosis.

Read on as survivors, caregivers, and experts share how military life shapes the cervical cancer journey — and why prevention, early detection, and community matter every step of the way.

Why Military Women’s Health Is Essential to Readiness

When people think about military readiness, they often picture physical fitness tests, deployments, and operational training. Dr. Elizabeth Kostas-Polston thinks about Pap tests, HPV vaccination, and preventive care.

Dr. Elizabeth Kostas-Polston

An Air Force veteran, women’s health nurse practitioner, and nationally recognized HPV researcher, Dr. Kostas-Polston has spent decades caring for military families while studying how women’s health affects military readiness.

“The Military Health System is the second-largest healthcare system in the United States,” she explains. “It serves more than nine million beneficiaries” — including active-duty service members, National Guard and Reserve members, military spouses and children, retirees, and other eligible beneficiaries around the world.

For military families, access to healthcare is only part of the equation. As Dr. Kostas-Polston notes, “Equal access does not always mean equal follow-through.”

Frequent Permanent Change of Station (PCS) moves, deployments, changing healthcare providers, remote assignments, demanding work schedules, and varying levels of health literacy can all interrupt routine screenings or delay follow-up after an abnormal Pap or HPV test.

“The patient has to be an active participant,” she says, who recommends: 

  • Maintaining copies of medical records
  • Understanding recommended follow-up
  • Asking questions
  • Staying engaged with one’s healthcare especially when families move every few years

Military families, she says, must become partners in their own care.

That message resonates deeply with cervical cancer survivor Trish Byerly.

Navigating the Military Health System After a Cervical Cancer Diagnosis

Virginia resident Trish grew up in a Marine Corps family before marrying an active-duty Marine in 1998.

Two years later, while stationed near Walter Reed National Military Medical Center, the nation’s premier military hospital in Bethesda, MD, doctors found precancerous cervical changes. Because she needed additional procedures, her family’s PCS orders were delayed until treatment was complete.

After relocating, however, continuity of care became more challenging. Every six months, she found herself explaining her medical history to a new physician. Then came another setback.

“This was before the digital age,” she recalls. “After the precancer treatment, we were stationed at a smaller base and they lost my file.”

Nearly 20 years later, in 2017, Trish was diagnosed with Stage IB2 cervical cancer. Once again, she turned to Walter Reed.

Trish Byerly and her husband, Tom, a retired U.S. Marine, on the day of her cervical cancer surgery, nearly 20 years after receiving treatment for precancerous cervical changes at the same military hospital.

“When he told me I had cancer,” she says of her gynecologic oncologist, “he already had the plan.”

Within days, she had met her oncology team, completed pre-operative testing, and begun coordinated treatment. There were no insurance pre-authorizations delaying care. Her gynecologic oncologist met regularly with her infusion team, radiation oncologist, and case manager to coordinate every aspect of her treatment.

Today, after hearing many Cervivor stories about insurance battles and fragmented care, Trish says she sometimes felt almost guilty for how smoothly her own treatment unfolded.

“For years, I would lessen my cancer diagnosis because I felt unworthy and not entitled to complain,” says Trish, a 2025 Cervivor School graduate.

Her advice echoes Dr. Kostas-Polston’s: Keep copies of your medical records, ask questions, request care at a larger military treatment facility when appropriate, and take advantage of resources like the Fisher House Foundation if you need to travel for treatment. (Scroll down for additional resources.)

Ultimately, she says, “I think it’s important to speak up.”

How Military Families Face Cervical Cancer Together

If military life teaches resilience, it also teaches teamwork.

For Amanda Hunter and her husband, Joe, a U.S. Marine Corps veteran, those lessons became essential when Amanda was diagnosed with cervical cancer just months after the birth of their first child.

“We had a 3-month-old infant at the time,” says Kentucky-based Amanda. “My husband didn’t think twice about stepping up where I couldn’t, all while continuing to work a full-time job.”

Amanda and Joe Hunter with their toddler son. He was just three months old when Amanda underwent cervical cancer treatment, while Joe — a Marine veteran — managed their insurance claims, finances, and caregiving.

She believes his military experience equipped him for one of the hardest missions of his life.

“I think his background in the military prepared him for stressful situations and helped him be the leader I needed during surgery and treatment,” says Amanda, who will celebrate her third cancerversary this October.  

Joe Hunter during active military service.
Amanda’s husband, Joe, during his active-duty service in the U.S. Marine Corps.

Joe describes his approach in distinctly military terms. “Triage,” he says simply. “The military mindset is to observe, gather all the intel you can, and take decisive action.”

For him, that meant researching treatment options, documenting insurance claims, appealing denials when necessary, managing finances, caring for their newborn son, maintaining the household, and making sure Amanda always had the support she needed.

One lesson stands out above all. “As caregivers, we want to control every aspect of our loved one’s treatment,” Joe says. “But I had to let her have the final decision about her treatment pathway.” Amanda needed confidence in her treatment plan, he explains, and he needed to be ready to advocate for her if she couldn’t advocate for herself.

Looking back, Amanda says her husband’s support went far beyond practical tasks.

“He took on everything treatment-related for me financially,” she says. “I never felt like an option for treatment was out of reach.”

Today, survivorship continues to shape their marriage.

“We definitely don’t take our time together for granted now,” Amanda says. “With the physical changes from radical hysterectomy and chemoradiation, we’ve had to figure out how to be intimate again. It has required a lot of patience and grace.”

Joe also learned the importance of caring for himself. He encourages other military caregivers to document everything, use available support resources, and look for moments of joy along the way. “When we had to take long drives or extended trips for her care,” he says, “we tried to turn them into miniature vacations.”

The Emotional Impact of Cervical Cancer on Military Families

Cancer doesn’t only change the person diagnosed. It changes the people who love them.

For Alegra’s husband, Bobby, a retired Air Force Master Sergeant, one memory has never faded.

Before surgery, doctors explained that if they discovered the cancer had spread, they would stop the procedure and simply tell the family how much time she had left.

Alegra had one request. If the news was good, bring flowers to her recovery room. If it wasn’t, don’t.

“In my mind,” Bobby says, “there were going to be flowers regardless.”

More than 25 years later, he admits he still hasn’t fully recovered from the experience. “I am still a helicopter husband,” he says.

When Military Service Meets Family Caregiving

Missourian Kim Arnold understands the power of family support from yet another perspective.

Kim Arnold

In 2019, she was facing a metastatic recurrence while working full-time, caring for her mother with dementia, and raising her family. “I didn’t have time to be sick,” she says.

Her middle son was serving on active duty overseas. Without telling her, he requested leave. His commander approved it immediately.

“I didn’t even know he was coming home,” Kim says. “He showed up at one of my chemo treatments and surprised me.” Though she says she doesn’t cry easily, “I cried when he gave me a hug.”

For the next month, he drove her an hour each way to chemotherapy and radiation. During those daily drives, they talked about his childhood, his military service, his dreams for the future, and the sacrifices she had made raising three boys on her own. He thanked her for being a good mom.

“We were essentially saying the things we had never said,” Kim says, “just in case we didn’t get the chance later.”

Her oldest son attended every chemotherapy appointment. Her youngest became what she affectionately calls her “hype kid.” Even her mother, on her good days, cared for her in return.

“Positive family interactions give a cancer patient the strength to keep going,” says Kim, now cancer-free for six years. “The love gives them hope for the future.”

Cervical Cancer Prevention Is Part of the Mission

For Dr. Kostas-Polston, these stories all point back to one simple truth: The strongest military families are not only resilient — they’re proactive.

Protecting readiness means staying current on cervical cancer screening, following up promptly after an abnormal Pap or HPV test, and ensuring eligible children receive the HPV vaccine, which can prevent six HPV-related cancers later in life.

Whether serving on active duty, supporting a loved one through deployments, or navigating life after military service, prevention remains one of the most powerful ways families can protect one another.

Cervical Cancer Resources for Military Families and Veterans

Military families and veterans have access to a number of resources — including our own organization — that can help with cervical cancer prevention, treatment, and survivorship:

  • TRICARE – TRICARE is the uniform services healthcare program for active-duty service members, retirees, and their families. It fully covers annual preventive women’s health services with no out-of-pocket costs (including Pap and HPV tests and pelvic exams) as well as the HPV vaccination for beneficiaries aged 9 to 45, follow-up diagnostic testing and procedures, specialty referrals, and cancer treatment for eligible beneficiaries.
  • Health.mil – This is the official public website of the Military Health System (MHS) and the Defense Health Agency (DHA). It offers information about preventive care, reproductive health, and women’s health services, including where and how to access care at Military Treatment Facilities (MTFs) globally. The Cervical Cancer page is an especially valuable resource.
  • VA Women’s Health – A dedicated branch of the Department of Veterans Affairs (VA), it addresses the unique physical and mental health needs of women veterans enrolled in VA healthcare. Every VA medical center features a dedicated Women Veterans Program Manager to help navigate care, from routine screenings to advanced cancer specialty care, physical rehabilitation, and survivorship support. Eligible veterans may also receive care from community providers when appropriate.
  • Fisher House Foundation – Fisher House is highly respected for providing “a home away from home” for families of patients receiving medical care at major military and VA medical centers. It provides free lodging for eligible military and veteran families who must travel away from home for medical treatment (like cancer therapy).
  • Cervivor, Inc. – Founded 21 years ago by cervical cancer survivor Tamika Felder, Cervivor has grown into a leading patient advocacy organization dedicated to ending cervical cancer and HPV-related cancers. Through peer support, education, advocacy, and community-building, Cervivor empowers patients, survivors, and caregivers to share their stories and ensure no one faces cervical cancer alone

Military families spend their lives answering the call to serve. By making prevention, early detection, and HPV vaccination part of that mission, they can help ensure that future generations spend less time fighting cancer — and more time living the healthy lives they’ve worked so hard to protect. 

This Independence Day, Team Cervivor thanks the service members, veterans, military spouses, caregivers, and families who protect our nation, and who, every day, protect one another.

Understanding NED: What “No Evidence of Disease” Really Means for Cervical Cancer Survivors

By The Cervivor Communications Team

NED — short for “No Evidence of Disease” — is often seen as the ultimate goal after cancer treatment. But for many cervical cancer survivors, hearing those words is not the end of the journey; it’s the beginning of a new and often complicated chapter marked by uncertainty, resilience, and emotional healing. 

While early-stage cervical cancer has a five-year survival rate above 90%, survivors — especially those diagnosed at later stages — can face lasting physical and psychological effects long after treatment ends.

Kellie Defelice

For Cervivor community member Kellie Defelice, a Stage 4A cervical cancer survivor, hearing she was NED three and a half years ago came with a wave of emotions — not all of them expected. 

“I used to think NED meant the end of someone’s cancer journey,” says the 2023 Cervivor School graduate. “Now I realize it’s just the beginning of a different kind of fight. It’s a relief, but also a possible ticking time bomb. I no longer want to waste time, and I just want to be happy.” 

In honor of National Cancer Survivorship Month, we’re shedding light on what survivorship really looks like through the voices of the Cervivor community while also helping demystify what NED really means.

What Does NED Mean in Cancer?

NED is a medical term used when imaging tests, such as PET or CT scans, blood tests, or physical exams, can no longer detect cancer in a person’s body. But NED doesn’t mean they’re “cured.”

Medical professionals are careful with their language. A patient might have no detectable cancer, but that doesn’t always mean the disease is gone for good — it just means there are currently no signs of it. That’s why ongoing monitoring, like scans every few months or years, remains essential.

Hence the reason why “scanxiety” — the intense fear, stress, and anticipatory anxiety many survivors feel before follow-up scans, tests, or appointments — is “very real,” says Kellie.

NED, Remission, Cured: What’s the Difference?

These terms are also often confused:

  • NED (No Evidence of Disease): No detectable cancer can be found.
  • Remission: Cancer has responded to treatment.
    • Complete remission means all signs of cancer are gone.
    • Partial remission means the cancer has shrunk or decreased.
  • Cured: The cancer is gone and not expected to return — though this term is rarely used until many years have passed.

For survivors, these distinctions can deeply affect how they understand their health, identity, and future.

Last May, Cervivor community member Erin Anderson shared the joy of hearing those words after eight years: “I finally got back the results of my CT DNA blood test, and the results show that there is no evidence of any cancer whatsoever! That means I am officially in REMISSION!!!!! 8 long years and I am here!!!!” One year later, she marked the anniversary of ringing the bell by getting a tattoo of the cervical cancer ribbon and flowers over her port scar.

Moments like these are powerful, but they often coexist with fear, anxiety, and emotional whiplash.

Survivorship Is Not a Clean Finish Line

When Cervivor recently asked survivors on its private Facebook group, “What was it like to hear the words ‘No Evidence of Disease’? How do you live beyond the disease?” the responses revealed just how layered survivorship can be.

Some spoke openly about lingering anxiety.

“Never gets old,” wrote Samantha Richman. “13 years out and still get anxious until I hear those words.”

Many survivors also described how cancer changed the way they approach life.

“I travel, I try new things, I do things that scare me,” wrote Dusty Ferrarese, who’s been NED for 10 years. “This extra time I’m given isn’t to be taken for granted.”

Four-year survivor Martha Lovette echoed that sentiment: “I spend all the time I can with my godson, and I prioritize pleasure over ‘to-dos.’ I do what’s essential and let go of the rest.”

Others focus on simply moving forward. ‘I just live my life,’ shared Jenny Morales, who was two years NED at the time of her comment. “I don’t want to waste good times always in fear.”

The Emotional Aftermath of Cancer

Kadiana Vegee

For many survivors, the hardest part begins after treatment ends.

Kadiana Vegee, a 2022 Cervivor School graduate, said she felt completely unprepared once the medical crisis was over, describing crying constantly, struggling to sleep, and withdrawing from the world around her as she slipped into a deep depression. 

Kellie said she experienced a similar realization. “I suddenly found that many cancer survivors have lasting side effects from treatment. I also came to see that many have PTSD from treatment, and the mental toll cancer takes does not go away.”

Erica Field

Survivor Erica Field echoed that sentiment: “Even after a clean bill of health, it never gets easier. You never get rid of scanxiety. You always have PTSD walking into the oncology doors… but today, I’m incredibly grateful.”

The emotional complexity of survivorship is something many people outside the cancer community struggle to understand.

Shantel Bateman explained how invisible survivorship can feel: “I push through and act like I am fine physically and mentally on the outside. Everyone is so obsessed with looks. You have to look sick to have cancer.”

Shantel Bateman

She also shared the painful confusion of being told she was “cancer-free,” only to later learn more scans were needed because cancer might still be present.

And like many survivors, she wrestled with survivor’s guilt. “My sister-in-law had the same cancer and didn’t make it. Why do I get to live and she didn’t?”

Lead Cervivor Ambassador Carol Lacey, who lives with recurrent metastatic cancer, captured the emotional uncertainty many survivors carry: “I cherished each time I heard those words. Even when the cancer came back, I lived in the moment of NED.”

Carol Lacey

How to Support Someone Who Is NED

If someone you love has heard the words “No Evidence of Disease,” don’t assume they’re “back to normal.” Survivors need ongoing support long after their medical intervention has concluded.

Cervivor Ambassador Kellie shares how to show up:

  • Listen. When we say we are tired, know we are experiencing fatigue — both mental and physical. Believe us when we describe the exhaustion that lingers after the fight.
  • Be Sympathetic. Cry with us when we lose friends to this disease. Many of us are grieving and often feeling a heavy sense of survivor’s guilt.
  • Be Patient. Scanxiety and PTSD are very real. Be there when we’re going through tests, and don’t dismiss our fears. Just like soldiers have trauma, so do we.
  • Take Action. Support legislation like American Cancer Society Cancer Action Network (ACS CAN) bills. Share our posts and attend community events. Walk beside us, stand with us, and prioritize your own screenings.

Survivorship is a Story Worth Telling

NED is more than a medical term — it’s an emotional milestone and a lifelong reckoning that involves fear, gratitude, and uncertainty all at once.

As Shantel puts it: “My soul is so tired. I’ve stayed positive for so long. But when I break down, I’m told to stay strong instead of being allowed to feel.”

Ultimately, survivorship is not a clean finish line; it is a complicated chapter that deserves to be seen and supported with true compassion.

If you’re a patient or survivor, share your story; you never know who needs to hear it. Together, we tell the whole story — because survivorship matters.

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