The conversation needs more nuance.
CHOICES helps clinicians move beyond blanket contraindication and vague reassurance toward route-specific, context-specific, evidence-based shared decision-making.
Patients need the patient questions. Clinicians need the doctor science.
The clinical challenge is not only what the evidence says, but how to explain uncertainty, competing risks, symptom burden, and treatment options responsibly — under real clinic constraints.
Better language for a hard conversation.
Educational resources to support — not replace — your clinical judgment and your patients' individualized care.
Risk language
Move past “contraindicated” toward route-, dose-, and formulation-specific framing — so risk can be weighed in proportion, not delivered as a closed door.
Evidence distinctions
Where the data is strong, where it is mixed, and where it is absent — across vaginal estrogen, systemic therapy, and testosterone in the survivorship setting.
Patient-facing tools
Checklists and guides patients can bring to the visit, so the conversation starts organized, specific, and on the same page.
Briefs & evidence explainers.
A clinician toolkit is on the way.
A clinician toolkit, workshops, and CME-adjacent resources are in development. They are not yet available.
Join the clinician list to hear when briefs, decision aids, and education sessions are released.
For clinicians and educators. No patient-specific advice is provided by email.
For grand rounds, workshops, media, and clinician education inquiries.
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.