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One of the ways to masculinize the voice is to thicken the vocal folds via a vocal fold injection, a minimally invasive procedure known also as injection augmentation. Vocal folds injection or injection augmentation Lastly, an objective measurement that depicts a voice change with more masculine features doesn’t necessarily relate to the patient’s perception of their voice and overall satisfaction hence some individuals might experience an objective voice change, with lower mean fundamental frequency (MF0) and decrease in phonation frequency range (PFR), but nonetheless be subjectively dissatisfied with the results. For this reason, some transmen might not be interested in HRT, but might want a change in their voice to reflect their gender identity. The possible medical and surgical interventions are different among individuals and must be individualized the requests, goals and personal characteristics of each individual are some of the many factors considered.
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As reiterated several times by the World Professional Association for Transgender Care (WPATH) there is no standard and universal path for all the individuals who have a gender assigned at birth which is different from their gender identity.
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To this we can add the fact that not all transgender males want to take hormone replacement therapy with testosterone. It is estimated that 10-25% of transmen are unsatisfied with their voice. It is certainly true that testosterone can cause a thickening of the vocal folds and that this is correlated to a lower pitch however, the degree of change and in general the changes determined by testosterone are not the same for everyone. There is a widespread belief that hormone replacement therapy with testosterone is sufficient in inducing changes to the vocal organs, causing a lowering and masculinization of the voice.
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Voice masculinization therapies and surgeries can be sought both by cisgender males unsatisfied with their voice and by transmen as part of their transition. What are the anatomical differences between the male and female vocal tract and vocal organsĪll of this can be found in our voice feminization surgery blog post.What are the features of male and female voices.Voice masculinization defines the medical and surgical therapies, as well as speech therapy, aimed at changing an individual’s voice into one with more masculine features.