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Voice impairment and menopause.

Berit Schneider1, Michael van Trotsenburg, Gunda Hanke

  • 1Department of Otorhinolaryngology, University Hospital, Vienna, Austria. berit.schneider@akh-wien.ac.at

Menopause (New York, N.Y.)
|March 17, 2004
PubMed
Summary

Voice changes are common in menopause, affecting nearly half of women studied. These changes, often accompanied by discomfort, warrant further investigation and inclusion in menopause rating scales.

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Area of Science:

  • Otolaryngology
  • Gynecology
  • Speech-Language Pathology

Background:

  • Voice changes are frequently reported by menopausal women but are not recognized as a climacteric symptom in current rating scales.
  • Menopause rating scales lack specific criteria for voice impairment, despite its common occurrence.

Purpose of the Study:

  • To systematically register and differentiate voice alterations and disorders in menopausal women.
  • To investigate the prevalence and characteristics of voice changes associated with menopause.

Main Methods:

  • A questionnaire on voice changes and vocal discomfort was administered to 107 postmenopausal women (ages 37-71).
  • A subset of participants underwent comprehensive assessments including questionnaires, physical examination, videostroboscopy, perceptual voice analysis, and voice range measurements.

Main Results:

  • Nearly half of the women (49/107) reported voice changes, with 35 associating them with subjective discomfort.
  • A significant number of women experienced voice changes without other typical menopausal symptoms.

Conclusions:

  • Voice changes are a common, yet underrecognized, issue during menopause.
  • Systematic registration of voice impairment should be considered for future menopause rating scales.
  • Severe menopausal voice impairments necessitate phoniatric examination, even in the absence of other climacteric symptoms.

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