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I’m a menopausal woman. I write about what it's like to get through the hormonal transition we’ve come to know as menopause. My intent is to help us all age together in the best and healthiest way possible. Let’s not suffer in silence. Let’s normalize the conversation. 


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Move over Bobby Brady, you aren't the only one cracking your high notes...hormonal shifts can influence the vocal cords, leading to noticeable menopause voice changes.

Estrogen, a key hormone affected during menopause, plays a significant role in maintaining vocal cord elasticity and moisture.

As estrogen levels decline, vocal cords may become drier and less flexible, resulting in variations in vocal quality.

This post will explore the connection between menopause and voice changes, delve into the hormonal impact on vocal cords, and provide practical tips for managing and maintaining vocal health during this transformative phase.

Menopause and Voice Changes

Hormones can impact our vocal folds and how our voice sounds.

When menopause occurs, and the ovaries stop producing estrogen, it affects the vocal folds and the voice.

How does that happen?

Since estrogen is important for keeping our muscles functioning properly, when estrogen's lacking, the muscles in the vocal folds can become weaker and smaller.

This can lead to changes in the voice, such as reduced volume, a narrower vocal range, and increased vocal fatigue.

Additionally, the lack of estrogen also affects the glands in the vocal folds, causing them to produce less moisture

In fact, a study published in JAMA, stated that "cell changes in the vocal folds of menopausal women have been shown to mirror changes in the cervix." 

As a result, the vocal folds and the cervix become drier and less lubricated.

Therefore, leading to hoarseness in the voice and vaginal dryness.

So, hormonal changes during menopause can directly impact our vocal folds and influence the way our voice sounds.

Understanding Vocal Changes during Menopause

Vocal changes during menopause can be a surprising experience for women especially if their teenage sons or nephews are going through the same issues!

As estrogen levels decline and hormonal shifts occur, these changes can manifest in various ways, affecting the voice's quality, range, and endurance

Which I suppose makes conversations with all those teenage sons to clean their rooms much less lengthy.

It's important to recognize that these changes are a natural part of the menopausal process and not indicative of any underlying health issues.

By understanding the factors at play and learning to adapt, women can easily navigate these vocal changes.

Awareness of common patterns of vocal changes, such as shifts in pitch, vocal fatigue, dryness, and loss of range, allows women to develop strategies to manage and maintain their vocal health during this transitional phase. 

Vocal Quality

Menopause can cause alterations in your voice's pitch, tone, and overall quality.

You may experience higher or lower pitch changes, breathiness, or strain.

Vocal Fatigue

Hormonal shifts during menopause can contribute to vocal fatigue, making speaking more challenging for extended periods without experiencing tiredness or hoarseness.

Dryness and Throat Discomfort

Reduced estrogen levels can result in dryness of the throat and vocal cords, leading to discomfort, itchiness, and a frequent need to clear your throat.

Loss of Vocal Range

Some women may notice a decreased vocal range, making it more difficult to reach higher or lower notes comfortably.

Coping Strategies for Voice Changes during Menopause

Navigating the vocal changes that accompany menopause can be a challenge for women.

Understanding the impact of hormonal shifts and adopting effective coping strategies can help manage these changes and maintain vocal health.

By implementing these strategies, women can empower themselves to adapt to the voice changes and continue to express themselves confidently.

While the focus is often on hydration, vocal warm-ups, rest, and seeking professional help, it's worth noting that nutrition and dietary choices also play a role in supporting vocal health during menopause.

By paying attention to food choices and ensuring a well-balanced diet, women can further support their vocal well-being.

Let's look at some practical coping strategies and how nutrition can contribute to maintaining a healthy voice during this transitional phase.

Nutrition for Throat and Sinus Health

Focusing on nutrition can play a significant role in improving sinus and throat health. 

Incorporating foods rich in vitamins A, C, and E, such as leafy greens, nuts and seeds, can support a healthy immune system and reduce the risk of sinus and throat infections. 

Including omega-3 fatty acids from sources like fatty fish, flaxseeds, and chia seeds can help reduce inflammation in the sinuses and throat.  

Lastly, avoiding foods that trigger acid reflux, such as spicy and greasy foods, can help prevent throat irritation and reduce the likelihood of sinus issues. 

cucumber hydration for voice

Hydration for Menopause Voice Changes

Adequate hydration is crucial for vocal health. 

Drinking sufficient water helps maintain moisture in the vocal cords and counteracts dryness.

Vocal Warm-ups for Menopause Voice

Incorporate regular vocal warm-up exercises into your routine to keep the vocal cords flexible and strong.

Resting the Voice during Menopause

When you are experiencing vocal strain or fatigue, allow your voice to rest. 

Avoid shouting or speaking loudly for prolonged periods to minimize strain on the vocal cords.

Menopause Voice Care

Take extra care of your voice by practicing good vocal hygiene, such as avoiding irritants like excessive caffeine or alcohol, and minimizing throat clearing.

Speech Therapy for Menopause Voice Changes

If voice changes persist or significantly impact your daily life, consider seeking professional help from a speech therapist who specializes in menopause-related voice changes. They can provide personalized guidance and exercises.

Otolaryngologist for Menopause Voice Changes

In some cases, consulting an otolaryngologist (ear, nose, and throat specialist) may be necessary to evaluate your vocal health and explore additional treatment options comprehensively.

Humidified Air during sleep 

Sleeping with a humidifier can be beneficial for easing throat and sinus dryness.

A humidifier adds moisture to the air in your bedroom, preventing it from becoming too dry.

The moist air produced by the humidifier can soothe and moisturize your throat and nasal passages, providing relief from dryness. 

Additionally, the increased humidity can help thin out mucus, making it easier to breathe and reducing congestion in the sinuses

Keeping Sinuses Clear

When the sinuses are congested or blocked, it can lead to post-nasal drip, where excess mucus drips down the throat, causing irritation and discomfort. 

By maintaining clear sinuses, you can reduce the likelihood of post-nasal drip, which in turn helps keep the throat free from excess mucus and irritation

This can contribute to a more comfortable and healthier throat, promoting easier breathing and a reduced risk of throat-related issues.

Conclusion

Menopause is a transformative phase in a woman's life that can bring about various changes, including voice changes due to hormonal shifts.

Understanding the hormonal impact on vocal health empowers you to take proactive steps in managing and maintaining your voice during menopause.

By staying hydrated, incorporating vocal warm-ups, practicing vocal rest, and seeking professional guidance if needed, you can navigate these changes with confidence and preserve the health and quality of your voice.

Remember, taking care of your voice during menopause is essential, and with the right strategies, you can ensure that your voice continues to be a powerful tool of expression and communication.

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Menopause and Voice Changes: Hormonal Impact on Vocal Health

menopause and voice changes

by DR. BIANCA BELDINI

July 13, 2023

Menopause

This post may contain affiliate links. Please read full disclosure here.

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Dr. Bianca Beldini

I’m your Doctor of Physical Therapy, Acupuncturist, Master Dry Needler, and Triathlon and Running Coach. I’ve been in the health, wellness and fitness industry for over 25 years, and I’m here to help you reach your optimal health.

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