You may have symptoms no one prepared you for, questions no one answered, or a body that does not feel like yours after treatment. CHOICES helps you bring better questions into the room.
Cancer treatment can save a woman's life and still leave symptoms, sexual-health changes, and quality-of-life losses that deserve careful discussion — not a vague no and a closed door.
A no may be the right answer — but it should be a specific one. These are the questions that turn a closed door into a real discussion with your care team.
Estrogen, progesterone, testosterone; vaginal or systemic — “hormones” isn't one thing. Which is off the table, and which aren't?
Local/vaginal, transdermal, or oral — route changes absorption and risk. Was the no about one route, or all of them?
Low-dose and standard-dose are different conversations. Is there a dose that changes the risk–benefit balance?
Tumor type, receptor status, time since treatment, and current therapy all matter. Is the no based on your specific situation?
If a therapy is truly off the table, what non-hormonal or other options exist for the symptoms you're managing?
If it's no for now, when is it worth revisiting — and what would need to change for that to happen?
Important — A “no” may be exactly right for your situation. This is not a reason to start, stop, or change any treatment on your own — it's a way to make the conversation specific and bring it back to the clinicians who know your history.
Bring better questions to the next visit.
A practical worksheet to help you focus the visit, raise what matters, and leave with a clear plan. The first tool CHOICES puts in your hands.
Get the checklist
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.