Building Trust in HPV Cancer Prevention — One Conversation at a Time

By Cervivor Communications Director Sara Lyle-Ingersoll

Twenty years ago, the HPV vaccine changed the future of cancer prevention. It now protects against six HPV-related cancers: cervical, anal, vulvar, vaginal, penile, and oropharyngeal (throat) cancers.

Yet scientific progress alone isn’t enough.

While the nation’s Healthy People 2030 initiative has set a goal of 80% of adolescents completing the HPV vaccine series, only about 62% of U.S. teens are currently up to date. Coverage varies widely across the country, with some states reporting fewer than half of adolescents completing the series.   

As National Immunization Awareness Month (NIAM) highlights the lifesaving impact of vaccines, public confidence in immunization is being tested by misinformation, growing distrust, and legal challenges to evidence-based vaccine recommendations.

Portrait of Tamika Felder, a 25-year cervical cancer survivor, founder of Cervivor, and advocate for HPV vaccination and cervical cancer prevention.
Tamika Felder

For 25-year cervical cancer survivor and Cervivor Founder and Chief Visionary Tamika Felder, safeguarding the next generation is personal.

“When I was diagnosed with cervical cancer, there wasn’t a vaccine that could have prevented what happened to me,” she says. “Today’s young people have that opportunity. Protecting that progress means making sure families have access to accurate information, trusted guidance, and the confidence to choose prevention.”

That commitment extends to public policy. Last month, Cervivor joined dozens of leading medical, public health, and patient advocacy organizations in signing an amicus brief in the federal lawsuit American Academy of Pediatrics v. Kennedy, supporting evidence-based vaccine recommendations and the scientific integrity of the nation’s immunization policies.

For National Immunization Awareness Month, we asked HPV cancer survivors, physicians, and public health leaders a simple but urgent question: How do we build trust in the HPV vaccine?

The Evidence Has Never Been Stronger

In countries with high HPV vaccination rates, the impact is unmistakable. A landmark 2026 study from England found that cervical cancer deaths among young women offered the HPV vaccine at ages 12 to 13 had fallen close to zero.

Here in the U.S., researchers continue to document declines in cervical precancers and HPV infections among vaccinated generations. A recent June 2026 clinical trial of adults treated for anal or vulvar precancer reinforced what scientists already know: Early vaccination is one of our strongest tools for preventing HPV-related cancers.  

However, despite decades of compelling evidence, misinformation continues to circulate online. A 2024 study found that HPV vaccine misinformation tends to cluster around four themes:

  • Safety concerns
  • Claims that the vaccine is unnecessary or that “natural” approaches are sufficient
  • Conspiracy theories
  • Distrust of medical authorities

Dr. Michelle Fiscus, MD, FAAP, Chief Medical Officer of the Association of Immunization Managers, has heard them all.

Dr. Michelle Fiscus

“We have been using the HPV vaccine to prevent HPV-related cancers for more than 20 years,” she says. “Vaccines undergo more safety monitoring than any other medical product in the United States, and the HPV vaccine has been used in more than 80 countries. Our safety monitoring systems continue to watch for even rare safety signals, and the HPV vaccine has proven to be extremely safe.”

When people argue that natural immunity is better than vaccination, she offers a perspective that’s difficult to forget.

“The immune response the vaccine creates is natural. The vaccine teaches our immune system to recognize the virus and eliminate it before it can go on to cause cancer,” she says. “What isn’t natural is the surgery, chemotherapy, and radiation needed to treat these cancers after they become established.”

Trust is the Missing Ingredient

If the evidence supporting HPV vaccination is stronger than ever, why do misinformation and misconceptions continue to gain traction?

No one understands that challenge better than physician, healthcare technology leader, and best-selling author Dr. Geeta Nayyar, MD, MBA. In her book, Dead Wrong: Diagnosing and Treating Healthcare’s Misinformation Illness, she examines why misinformation spreads.

Portrait of Dr. Geeta Nayyar, physician, healthcare technology leader, and bestselling author who studies healthcare misinformation and trust.
Dr. Geeta Nayyar

“Facts matter enormously,” she says. “But facts alone do not create trust. When someone is frightened or feels dismissed, presenting more data can sometimes make them feel as though we are arguing with them rather than listening to them.”

According to Dr. Nayyar, people don’t evaluate health information in a vacuum. Their experiences, beliefs, and trust in the messenger shape how they receive new information.

Part of the reason misinformation spreads so easily, she says, is that it rarely looks like misinformation.

“It is often packaged as protection: ‘I’m just asking questions,’ ‘Do your own research,’ or ‘They aren’t telling you the whole story,'” she explains. “That language can be compelling because it offers people a sense of agency while suggesting that trusted institutions are withholding the truth.”

The HPV vaccine presents an additional challenge because it touches on three deeply emotional subjects at once: children, sexuality, and cancer. “We cannot dismiss a parent’s instinct to protect their child,” Dr. Nayyar says. “We have to honor it while helping parents understand that vaccination is itself an act of protection against future cancers.”

From Information to Conversation

For immunization leader Dr. Fiscus, that starts with listening.

“When someone has genuine questions or hesitations about vaccines, I find it’s helpful to ask about the concern and the source of that information,” she says. “If it’s something I’ve heard before, I ask permission to share what I know. If it’s new information, I’ll tell them I understand why it would cause concern and offer to look into it and circle back.”

Dr. Nayyar agrees that people are far more likely to reconsider a belief when they feel respected.

“The goal of every conversation does not have to be immediate agreement. Sometimes the most meaningful outcome is simply leaving the door open. Trust is built through connection, humility, and consistency — not through winning an argument.”

When Survivors Lead, Conversations Change

Statistics tell us what the HPV vaccine can prevent. Survivor stories remind us why prevention matters.

“Survivors and organizations like Cervivor can share compelling stories and facts about the success of the HPV vaccine, not only in the U.S., but around the world,” says Dr. Fiscus. “They can share how much easier it is to prevent HPV-related cancers than to treat them after they have been established.”

Calvin Nokes

For HPV cancer survivor Calvin Nokes, the lesson came the hard way. “For years, whenever HPV was mentioned, it was almost always connected to women and cervical cancer,” he says. “I honestly believed it was something only women had to worry about. No one ever told me men could get HPV.”

Everything changed when he was diagnosed with anal cancer in 2009. 

“That’s why I say everywhere I go, ‘Men get HPV, too. Men get HPV-related cancers, too,'” he says. “HPV doesn’t care whether you’re male or female. Boys grow up to become men, and they should be vaccinated, too. We have the opportunity to protect today’s children before they ever face that risk.”

Cervical cancer survivor Athena Porter knows that building trust starts with understanding your audience. 

A Cervivor Ambassador, rural Iowa resident, and woman of faith, Athena leads Cervivor’s virtual Bible study. When questions arise about the persistent myth that the HPV vaccine somehow encourages promiscuity, she doesn’t argue. Instead, she gently reframes the conversation. 

“A person can be cautious and not engage in sexual relations until they get married,” she says, “but there is no guarantee that their future spouse did the same.”

For Athena, emphasizing that the vaccine is about cancer prevention — not sexual activity — helps families see the issue through a different lens. Since graduating from Cervivor School in 2025, she’s continued bringing that message to her community, including in a recent television interview about the importance of HPV vaccination.

Athena Porter, with her husband and their two daughters, who live in rural Iowa.

Protecting Progress Starts with Us

The HPV vaccine has already changed the future of cancer prevention. Protecting that progress, however, will require more than scientific breakthroughs. It will take trusted conversations, compassionate listening, and people willing to share their stories. 

As Tamika puts it, “Advocacy isn’t about having all the answers. It’s about being willing to listen, share your story, and help someone make an informed decision. If one conversation leads to one family choosing cancer prevention, that’s how real change happens.” 

Dr. Nayyar offers similar advice for anyone who wants to help build trust: “Begin with curiosity rather than correction. Ask, ‘What concerns you most about the vaccine?’ Then listen without interrupting or judging.”

Here’s how you can help protect progress:

  • If you’re a parent or caregiver: Talk with your child’s healthcare provider about the HPV vaccine. It’s routinely recommended for girls and boys at ages 11 to 12 and can begin as early as age 9.
  • If you’re an HPV-related cancer survivor: Your experience has the power to build trust in ways statistics alone cannot. Sharing your story may be the conversation that helps another family choose prevention.
  • If you’re ready to advocate: Register for Cervivor’s upcoming Gynecological Cancer Survivors Retreat and Advocacy Training (September 24 to 27) to strengthen your skills, connect with fellow survivors, and help advance HPV vaccination, early detection, and equitable care.
  • Wherever you are: Share credible information, lead with empathy, and keep the conversation going. Every respectful discussion is an opportunity to protect someone from an HPV-related cancer.

Because that’s how progress is protected — one conversation, one informed decision, and one less cancer diagnosis at a time.

About the Author

SARA LYLE-INGERSOLL is a content and communications expert dedicated to transforming lived experiences into impactful stories. Her award-winning magazine feature about a close friend who died from cervical cancer in their twenties led her to Cervivor, and solidified her commitment to cervical cancer awareness and prevention. Now, as Cervivor’s Communications Director, Sara brings this mission full circle.

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.