Up to 46% of women experience vocal changes during menopause, according to a research review published in Menopause , the journal of The Menopause Society. Changes can be attributed to the effect of hormonal decline on the larynx.

“The larynx is a target organ for sex hormones—particularly estrogen, progesterone, and androgens—which regulate mucosal hydration, collagen turnover, muscle tone and neuromuscular coordination,” lead authors Yael Bensoussan, M.D., director of the University of South Florida Health Voice Center , and Rupal Patel, Ph.D., professor at Northeastern University, write in the review . “As women transition through perimenopause and menopause, the decline in these hormones leads to structural and functional changes in the voice, often resulting in noticeable al

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