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Voice Characteristics at Presentation in Nonbinary Individuals Seeking Gender-Affirming Voice Care
Camryn R Marshall1, Sarah L Schneider1, Gutierrez1
1UCSF Voice & Swallowing Center, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA.
The Laryngoscope
|October 22, 2025
Summary
This study describes nonbinary individuals seeking voice care, highlighting their unique vocal goals and concerns. Understanding these needs is crucial for effective, personalized gender-affirming voice treatment.
Area of Science:
- Laryngology
- Speech-Language Pathology
- Gender-Affirming Care
Background:
- Gender-affirming voice care research predominantly focuses on trans women.
- Limited data exists on the specific voice needs of nonbinary (NB) individuals.
Purpose of the Study:
- To characterize baseline demographics and voice-related concerns of NB individuals seeking gender-affirming voice treatment.
- To inform clinicians for improved patient care and understanding.
Main Methods:
- Retrospective review of 25 NB individuals at a tertiary laryngology center.
- Data collected included demographics, hormone therapy use, presenting voice concerns, and validated outcome measures.
- Videostroboscopy and speech-language pathology assessments were performed.
Main Results:
- The majority of participants (84%) were white and non-Hispanic, with a mean age of 32.3 years.
- 80% used gender-affirming hormone replacement therapy; 56% received feminizing hormones.
- All presented with gender-related voice concerns, reporting dissatisfaction with voice quality and seeking voice modification.
Conclusions:
- This study provides the first detailed description of NB individuals at presentation for voice care.
- Individualized care plans are essential to address the unique voice goals and aspirations of NB individuals.
- All assessed patients were deemed suitable for voice therapy to achieve their desired vocal outcomes.
Keywords:
gender and the voicelaryngologyspeech language pathologytransgendervoice assessment/measuresvoice/dysphoniaMore Related Videos
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