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.

Want more survivor voices and support resources delivered to your inbox? Sign up for our newsletter — and help us amplify our mission to end cervical cancer by sharing this story and tagging Cervivor on social media.

One Acronym, Many Identities: Why Every AANHPI Cervical Cancer Story Matters

By Kyle Minnis, Cervivor Communications Assistant

Asian American, Native Hawaiian, and Pacific Islander (AANHPI) communities are often discussed as though they are a single group. In reality, they represent more than 25 million Asian Americans and roughly 1.7 million Native Hawaiians and Pacific Islanders in the United States alone, with roots tracing across dozens of countries and cultures spanning the largest geographic region in the world.

That diversity matters when it comes to cervical cancer prevention and care.

Different countries across Asia and the Pacific have vastly different rates of HPV infection, cervical cancer incidence, screening access, and vaccination uptake. Those differences don’t disappear once families immigrate to the United States. In fact, they often continue here, shaped by factors like language access, insurance coverage, cultural beliefs, immigration status, healthcare discrimination, and whether families have access to culturally relevant information.

But when all AANHPI people are grouped together in research and public health data, those differences can become invisible.

Dr. Mihae Song

“It’s so important to disaggregate cervical cancer data because we have seen how incidence, stage at diagnosis, screening rates, and cancer outcomes can vary widely across different AANHPI communities,” says Dr. Mihae Song, M.D., of the Gynecologic Oncology Fellowship Program at the City of Hope. “If we can better recognize and understand where disparities exist, we can then direct resources and interventions to the communities that need them most to overcome unique cultural and structural barriers they face.” 

This Asian American, Native Hawaiian, and Pacific Islander (AANHPI) Heritage Month, we’re exploring some of the factors behind these gaps while highlighting the experiences and voices of Cervivor community members. 

Dr. Song was a past guest on the Cervivor Podcast, discussing health disparities in the Asian American, Native Hawaiian, and Pacific Islander (AANHPI) community.

Where Disparities Exist in AANHPI Communities

While Asian American women overall appear to have lower cervical cancer rates than the national average, that broad data masks important disparities between communities:

  • Some Southeast Asian groups, including Vietnamese, Cambodian, and Laotian women, have historically faced significantly higher cervical cancer rates.
  • Native Hawaiian and Pacific Islander women experience disproportionately high cervical cancer mortality rates.
  • Asian American women have some of the lowest cervical cancer screening rates in the United States, often due to cultural stigma, modesty, language barriers, or lack of culturally competent care.
  • HPV vaccination and routine Pap and HPV testing can prevent nearly all cervical cancer cases, yet many AANHPI families still lack access to trusted, culturally resonant information and care.

These disparities reflect systemic inequities, not individual choices. 

Cultural Silence and the Weight of Stigma

Across many Asian and Pacific Islander cultures, deep-seated stigma around reproductive health can make cancer a taboo subject, leaving many survivors to navigate their diagnoses in isolation.

This silence is often compounded by cultural barriers like strict modesty, a traditional reluctance to burden family members, and the pervasive “model minority” myth, which frequently masks healthcare disparities in AANHPI communities and causes critical symptoms or screenings to be overlooked.

“In many Asian immigrant communities, people often do not grow up openly discussing gynecologic health, vaccines, or Pap smears — even within their families,” says Dr. Song, who is fluent in both English and Korean. “Language barriers, discomfort with pelvic exams, and cultural stigma can all contribute to lower screening rates and more advanced cervical cancer diagnoses.”

For Cervivor Founder and Chief Visionary Tamika Felder, creating a supportive community for AANHPI individuals to share openly comes from a personal place.

“We know there are more women out there who are suffering in silence and could benefit from safe spaces like Cervivor,” Tamika says. “We’ve lost women like Becky Wallace and Gina Gossett far too soon, and we owe it to them — and to the AANHPI individuals with cervixes who still haven’t shared their stories — to keep having these conversations openly and compassionately.”

Those conversations happen through programs like Cervivor’s Cervical Cancer Patient Advocacy for Communities of Color Retreat and Asian & Pacific Islander virtual meetups — empowering spaces where cervical cancer patients, survivors, and thrivers within the AANHPI community can speak freely, support one another, and feel seen. (The next virtual meetup is Tuesday, May 26, 2026, at 7 p.m. ET / 4 p.m. PT for those interested in joining.)

By sharing their experiences publicly, the following Cervivor community members hope to challenge stigma, encourage prevention, and help others in AANHPI communities feel less alone. 

Janice’s Story: “Find Your People and Forget the Taboo”

Janice Le-Nguyen

Nevada-based survivor Janice Le-Nguyen says cultural expectations shaped how she processed her cervical cancer diagnosis after being diagnosed with stage I endocervical adenocarcinoma at age 32 in 2021.  

Although she had been experiencing irregular periods, her previous Pap test had come back normal. So when she finally sought care during the pandemic, the diagnosis “was not even on the radar” for either her or her doctor. One of the hardest parts, she says, was figuring out how to tell her family.

“I was not the one to tell my parents after that doctor visit,” Janice shares. “I called my sister and asked her to tell them initially because I didn’t know how to tell them that their youngest daughter had cancer, and cervical cancer at that.” She also remembers struggling to even find the Vietnamese words to describe her diagnosis.

Janice underwent a LEEP procedure followed by a hysterectomy and lymph node dissection. Looking back, she wishes there had been more open conversations around HPV prevention and both Pap and HPV testing in her community. “While the conversations may be uncomfortable for the AANHPI population, I think current and future generations would benefit,” she says.

Today, nearly two years with no evidence of disease (NED), Janice is using her story to help others let go of stigma and prioritize their health.

“Find your people and forget the taboo,” she says. “You may be the one person who’s able to bring someone out of their shell to encourage them on the path to screening and advocating for their health if anything ever feels off.”

Satyani’s Story: From Silence to Self-Advocacy

Satyani McPherson

For survivor Satyani McPherson, the silence surrounding sexual health was shaped not only by cultural stigma, but also by trauma.

Of Hawaiian, Chinese, English, African American, and Choctaw heritage, Satyani says many of the cultures she grew up around shared similar taboos surrounding sexuality and reproductive health. After surviving multiple instances of sexual assault beginning in childhood, conversations about sexual health became especially difficult. 

Negative healthcare experiences later reinforced those fears, making pelvic exams and screenings emotionally and physically uncomfortable over the years. After being diagnosed with a sexually transmitted disease in her twenties, Satyani recalls that “the doctor acted as though I had the cooties,” leaving her feeling “uncomfortable and hesitant to ask questions about the disease, its side effects, and treatment.”

In her fifties, doctors discovered abnormal cervical cells and recommended a hysterectomy, which she declined at the time. Years later, she was diagnosed with cervical cancer. Initially pursuing alternative therapies and holistic treatments, Satyani eventually underwent chemotherapy, radiation, and brachytherapy after the cancer progressed to stage II.

Treatment was physically and emotionally grueling, particularly given her history of trauma. Still, compassionate providers, mindfulness practices, and support from her husband helped carry her through. “I was not ready to resign my life to a cancer diagnosis,” she says, adding that her husband’s support helped her make the difficult decision to pursue conventional treatment.

Now, one year NED, Satyani is sharing her story publicly for the first time through Cervivor to encourage others to prioritize HPV vaccination, regular screenings, safe sex practices, and open conversations about sexual health. “I have been inspired to educate others so they can make conscious choices to avoid this devastating disease and treatment,” she says.

Why Storytelling Saves Lives

Some AANHPI subgroups face cervical cancer rates two or three times higher than the U.S. average, even though cervical cancer is largely preventable through HPV vaccination, regular screenings, and timely treatment. But data alone cannot tell the full story.

At Cervivor, we believe survivor stories create understanding, trust, and connection — especially in communities where silence around cancer and sexual health can still run deep. By speaking openly, sharing culturally relevant information, and advocating for equitable care, survivors and allies can help close these gaps and save lives.

This AANHPI Heritage Month, here are a few ways to support Cervivor’s mission and strengthen the community:

  • Share your story. Your experience may help someone else feel seen, understood, or encouraged to seek care.
  • Get screened and vaccinated. Schedule your Pap or HPV test, and encourage eligible loved ones to receive the HPV vaccine.
  • Join the Cervivor community. Support groups, advocacy programs, meetups, and Cervivor School offer connection, education, and empowerment.
  • Spread awareness. Challenge stigma and encourage conversations about prevention, screening, and survivorship in your own community.
  • Connect with us on socials or subscribe to our newsletter for the latest news, resources, and community events

Every story matters. Every community matters. And together, we can work toward ending cervical cancer for everyone.

About the Author

The image is a portrait of a young man with dark skin and short, curly black hair. He is wearing a blue collared shirt and black-framed glasses, and is smiling at the camera.
The man has dark skin and short, curly black hair.
His hair is cut close to his head, with a slight fade at the sides.
His eyebrows are thick and well-groomed.
He is wearing a blue collared shirt.
The shirt is a medium blue color and appears to be made of a lightweight material.
It has a relaxed fit and is buttoned up to the top.
He is also wearing black-framed glasses.
The frames are rectangular in shape and have a subtle curve at the temples.
The lenses are clear and do not appear to have any tint or coating.
The man is smiling at the camera.
His smile is wide and genuine, showing off his white teeth.
His eyes are crinkled at the corners, giving him a friendly and approachable appearance.
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The gray is a medium tone, neither too light nor too dark.
It provides a neutral backdrop that allows the subject to stand out.
Overall, the image presents a friendly and approachable young man who appears to be confident and comfortable in front of the camera

Kyle Minnis is a recent graduate of Strategic Communications at the University of Kansas with a passion for digital media, storytelling, and audience engagement. He has experience in content strategy and media production. Kyle is especially interested in the intersection of media, branding, and digital growth.