For Patients · CHOICES by Dr. Bosserman
CHOICES by Dr. Bosserman
For Patients

You were told no hormones.

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.

Get the Doctor Visit Checklist Explore patient resources →
What this means

Survival should not end the conversation.

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.

Start with the boundary

What CHOICES is — and isn't.

Can CHOICES tell me what treatment I should take? +

No. CHOICES is an educational resource. It can't recommend a treatment for you or replace a conversation with the clinicians who know your history. Its purpose is to help you understand the questions and bring them into a real discussion with your care team.

Is this medical advice? +

No. CHOICES content is educational and informational only. It is not medical advice, diagnosis, or treatment, and using it does not create a physician–patient relationship. Do not start, stop, or change any treatment based on it. Always rely on qualified professionals familiar with your medical history for individualized care.

What if my doctor already said no? +

A no is sometimes the right answer — and sometimes the start of a more detailed conversation. CHOICES can help you understand what questions to ask about route, dose, context, and alternatives, so you and your care team can revisit the discussion with more information. It is not a reason to stop or change any treatment on your own.

Can I bring these resources to my appointment? +

Yes — that's exactly what they're for. The Doctor Visit Checklist and patient guides are designed to be printed or brought on your phone, to help structure the conversation with your oncology, gynecology, and survivorship teams.

Where should I start? +

Start with the Doctor Visit Checklist. It takes a few minutes, helps you organize what you're experiencing, and gives you a concrete set of questions to bring into your next appointment.

When you've been told no

What to bring back into the conversation.

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.

01

No to which hormone?

Estrogen, progesterone, testosterone; vaginal or systemic — “hormones” isn't one thing. Which is off the table, and which aren't?

02

By what route?

Local/vaginal, transdermal, or oral — route changes absorption and risk. Was the no about one route, or all of them?

03

At what dose?

Low-dose and standard-dose are different conversations. Is there a dose that changes the risk–benefit balance?

04

In what cancer context?

Tumor type, receptor status, time since treatment, and current therapy all matter. Is the no based on your specific situation?

05

What are the alternatives?

If a therapy is truly off the table, what non-hormonal or other options exist for the symptoms you're managing?

06

What's the follow-up plan?

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.

Start here · The first instrument

The Doctor Visit Checklist

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
CHOICES by Dr. Bosserman™
Doctor Visit Checklist
Hot flashes / night sweats
Vaginal dryness / irritation
Pain with sex / penetration
Low sexual desire / arousal changes
Questions for my next visit:
Bring this to your next oncology, gynecology, or survivorship visit.
Patient resources

A few places to begin.

Browse the full Library →
Worksheet
Doctor Visit Checklist
Focus the visit, ask better questions, leave with a plan.
Patient Guide
Vaginal, vulvar & urinary health
An evidence-based guide to one of survivorship's most under-discussed problems.
Ongoing essays
CHOICES on Substack
Plain-language writing on hormones, sexual health & survivorship.
Editorial
Personalization, Not Prohibition
The principle behind CHOICES, in Dr. Bosserman's own words.
CHOICES by Dr. Bosserman

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.

© 2026 CHOICES by Dr. Bosserman™. All rights reserved. Personalization, not prohibition.