![]() ![]() Some feminine sounding voices are lower in pitch than are some very masculine sounding voices. Most of what makes a voice ‘feminine’ sounding has little to do with the pitch of the voice. By the end of this first session, you should have a treatment plan that may involve several components, such as voice therapy, vocal fold surgery, and/or a modification of your Adam’s apple. Acoustic measurements will also be made of your voice. This involves the use of a small scope that is placed in your mouth or through your nose to view the voice box. A videostroboscopy will be done to allow us to evaluate your vocal folds in vibration. Measurements will be made of your vocal capabilities, deficits, and strengths. We will ask about your medical history, medications, and other issues related to your health. ![]() ![]() They will listen to you and come to an understanding of the type of voice that you wish to communicate with the world. Transgender Voice Evaluation at Mount SinaiĪt the initial evaluation, you will meet with the laryngologist and the voice/speech therapist. However, voice therapy may be helpful to adjust patterns of speaking, and surgical intervention by a laryngologist - should it be required - can reduce the tension on the vocal folds in order to eliminate the higher pitches of the voice. Most trans men develop a low enough pitch hence, further intervention is not necessary. Voice masculinization is often achieved to a satisfactory level due to the effects of testosterone on the vocal fold mucosa. Physicians at the Grabscheid Voice and Swallowing Center can also perform voice box modification to alter the appearance of the Adam’s apple. ![]() While the surgery is designed to eliminate the lowest portions of a voice’s pitch range and elevate the common speaking pitch closer to an average feminine range, the behaviors learned in the voice therapy are necessary to communicate gender identity. After these new behaviors have been maximized, then consideration can be given to surgery to alter pitch. Our specially-trained voice and speech therapists help you to learn those communication patterns that signal a feminine speaker. As a team (patient, physician, therapist) we determine how to help you achieve your voice and communication goals. Voice feminization makes use of a team approach involving you, a laryngologist, and a voice therapist. Additional we are part of Mount Sinai’s Center for Transgender Medicine and Surgery and work together to ensure seamless care for each patient. Our team members all have specialized interest and training in evaluating and working with transgender patients to provide behavioral and medical/surgical interventions, including tracheal shave surgery and Wendler glottoplasty. Transgender Voice Care: Feminization, Modification and Surgeryįor transgender and gender non-binary persons, experts at the Grabscheid Voice and Swallowing Center of Mount Sinai specialize in helping them to find the voice that is uniquely theirs. Our laryngologists and dedicated voice and speech therapists work with each of our patients to fine-tune their voices to comfortably and effectively do their jobs, and live their lives. ![]()
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