Personalization,
not prohibition.
For decades, I treated breast cancer and watched many women survive. Too many were then left managing symptoms that were minimized, misunderstood, or simply untreated.
CHOICES is where I put the language, evidence, and practical steps that help women get relief and help clinicians prescribe with confidence.
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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.
Cancer, sex, and hormones
Dr. Bosserman joins Dr. Kelly Casperson on the You Are Not Broken podcast for an hour on the questions oncology too often skips: what the evidence actually says about hormones after cancer, why menopausal hormone therapy was never one thing, and how to have a real risk-and-benefit conversation instead of a blanket no.
Personalization, not prohibition.
Tools for the room.
Not an endless feed — a small set of instruments women and clinicians bring into the visit.
Vaginal Estrogen for GSM: Patient Guide
For dryness, pain with sex and urinary symptoms (GSM, genitourinary syndrome of menopause) after menopause or cancer treatment: what is happening, 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 CHOICES 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.