Clinicians should counsel transgender men that they may or may not experience voice lowering within the first 3 months of testosterone therapy and that the majority of voice deepening will occur within 6-9 months.Īndrogen testosterone transgender transsexual voice. We concluded that transgender men who start testosterone therapy display different patterns of voice lowering. For example, some participants showed no decrease in MF0 within the first 3 months of testosterone therapy, whereas others showed their greatest decrease in MF0. Several patterns emerged regarding the extent and timing. The mean decrease in MF0 after 12 months of testosterone therapy was 6.4 semitones (49 Hz). All seven transgender men reached a cisgender male mean fundamental frequency (MF0) within 6 months of testosterone therapy and four continued to experience a decrease after 6 months. Serum testosterone and estradiol concentrations were measured at baseline and every 3 months. All patients received two voice assessments at baseline and one assessment at 3, 6, 9, and 12 months while on intramuscular testosterone esters. The participants were seven transgender men naïve to testosterone therapy. This was a prospective 12-month study at an academic outpatient endocrinology clinic and speech and voice center. Our aim was to investigate the timing and degree of voice deepening over 12 months among an ethnically diverse sample of transgender men. There is sparse prospective data on the effects of testosterone therapy on the voices of transgender men (also referred to as trans men or female-to-male transsexuals).
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