Personalization,
not prohibition.
For women told “no hormones” without a real conversation, CHOICES brings the evidence, questions, and clinical nuance back into the room.
Evidence-based hormone, sexual health, and survivorship education for women and clinicians navigating cancer, menopause, and quality-of-life decisions.
Survival should not be the end of the conversation.
CHOICES brings hormone science, sexual health, and cancer survivorship back into the same room, so women and clinicians can move beyond blanket reassurance or blanket prohibition toward informed shared decision-making.
Two doorways.
The questions differ. The standard of evidence does not.
You were told no hormones.
- —Symptoms no one prepared you for — pain, dryness, sleep, mood, memory.
- —Changes in your body, your intimacy, and your relationships.
- —A sense that quality of life was treated as a footnote.
- —You want better questions for your next visit.
The conversation needs more nuance.
- —Precise risk language instead of blanket contraindication.
- —Distinctions by route, dose, formulation, and cancer context.
- —Tools that hold up under real clinic time and constraints.
- —A defensible path between blanket fear and false reassurance.
Tools for the room.
Not an endless feed — a small set of instruments women and clinicians bring into the visit.
Restoring Vaginal, Vulvar & Urinary Health
A clear, evidence-based guide to one of survivorship's most under-discussed problems — the symptoms, the options, and how to raise it with your care team.
MD, PhD
A medical oncologist and AASECT-certified sex counselor with four decades of practice, bringing rigorous evidence to the questions women are too often told not to ask.
Get the Doctor Visit Checklist
A practical worksheet to help focus the visit, ask better questions, and leave with a plan.
Evidence-based hormone, sexual health, and survivorship education for women and clinicians.
CHOICES content is educational and informational only. It is not medical advice, diagnosis, treatment recommendation, or the practice of medicine, and does not establish a physician–patient or healthcare-provider relationship. Do not use it to start, modify, or discontinue any treatment, and do not delay or disregard professional medical advice because of something you read here. Always consult qualified professionals familiar with your medical history; any use of this information is at your own risk. CHOICES content is independent and does not represent City of Hope.