Voice Masculinization Practices: A Survey for Voice Pathologists
Location
Hager-Lubbers Exhibition Hall
Description
PURPOSE: This ongoing survey-based research study aims to analyze current trends in the evaluation and treatment of clients seeking gender-affirming voice care, with a particular focus on voice masculinization. Historically, voice therapy for masculinization has been studied less than voice feminization, possibly due to the positive impact of hormonal therapy on the voice. However, a growing body of research reveals that testosterone therapy alone is often insufficient for developing a gender-congruent voice.SUBJECTS: Participants are practicing voice pathologists. About fifteen subjects completed the survey within a two-week timeframe. Respondents work in hospitals (47%), private practices (33%), university clinics (27%), and telehealth (33%) across 13 states. Respondents had varied experience, with 53% having 1-5 years of practice. The age range of respondents was 18-30 (27%), 31-50 (47%), and 51-64 (27%). Gender identities represented were 7% cis men, 80% cis women, 7% genderqueer, and 13% non-binary. METHODS/ANALYSES: This ongoing descriptive survey (GVSU IRB#25-204-H) was distributed on social media, ASHA, and PAVA on February 26, 2025. The survey consists of 47 questions covering voice masculinization evaluation, treatment, outcomes, and barriers to care. Question formats included multiple choice and Likert scale, with optional open-ended response sections. RESULTS/CONCLUSIONS: Survey findings indicated that testosterone alone is often insufficient for voice masculinization. Clinicians prioritize resonance, breath support, and intonation over pitch. Counseling and pragmatic language approaches are also valued. Challenges include inconsistent training, lack of standardized protocols, and insurance barriers. Greater collaboration and evidence-based guidelines are needed for improved outcomes.
Voice Masculinization Practices: A Survey for Voice Pathologists
Hager-Lubbers Exhibition Hall
PURPOSE: This ongoing survey-based research study aims to analyze current trends in the evaluation and treatment of clients seeking gender-affirming voice care, with a particular focus on voice masculinization. Historically, voice therapy for masculinization has been studied less than voice feminization, possibly due to the positive impact of hormonal therapy on the voice. However, a growing body of research reveals that testosterone therapy alone is often insufficient for developing a gender-congruent voice.SUBJECTS: Participants are practicing voice pathologists. About fifteen subjects completed the survey within a two-week timeframe. Respondents work in hospitals (47%), private practices (33%), university clinics (27%), and telehealth (33%) across 13 states. Respondents had varied experience, with 53% having 1-5 years of practice. The age range of respondents was 18-30 (27%), 31-50 (47%), and 51-64 (27%). Gender identities represented were 7% cis men, 80% cis women, 7% genderqueer, and 13% non-binary. METHODS/ANALYSES: This ongoing descriptive survey (GVSU IRB#25-204-H) was distributed on social media, ASHA, and PAVA on February 26, 2025. The survey consists of 47 questions covering voice masculinization evaluation, treatment, outcomes, and barriers to care. Question formats included multiple choice and Likert scale, with optional open-ended response sections. RESULTS/CONCLUSIONS: Survey findings indicated that testosterone alone is often insufficient for voice masculinization. Clinicians prioritize resonance, breath support, and intonation over pitch. Counseling and pragmatic language approaches are also valued. Challenges include inconsistent training, lack of standardized protocols, and insurance barriers. Greater collaboration and evidence-based guidelines are needed for improved outcomes.