Spasmodic Dysphonia Bulletin Board

female hormones and voice disturbances....Chiropractic Care
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Posted by: Sara S ®
10/15/2004, 14:03:46


Hi, my name is Sara and I've just signed on tor the first time today. I am so excited to have other people to "talk" with about some of my concerns!
First of all, to the women out there, do you notice an increase in difficulty speaking prior to your menstrual cycle? How do you deal with this? Has anyone gotten any good advice? I've heard that the hormones affect muscle tension, also that the hormones affect fluid retention in the vocal cords???? That's all fine but is there anything we can do to help reduce the effect?
Also, Has anyone had any luck with chorpractic treatment? I've been seeing a chiropractor for a couple of months to help reduce the muscle tension in my jaw, neck and shoulders. Do other people experience a lot of muscle tension? Is it part of the whole scenario?



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Re: female hormones and voice disturbances....Chiropractic Care
Re: female hormones and voice disturbances....Chiropractic Care -- Sara S Top of thread Archive
Posted by: kitty ®
10/16/2004, 21:43:44


Yes, I have been having a lot of muscle tension in my neck, jaw, and shoulders. In fact I started having problems with my shoulder four or five years ago. The last year I worked in my job I held for 33 years, I had a constant eye twitch in my left eye. I was having some hoarsness after that. After my employer announced they were moving to Mexico, I took a early retirement to receive better insurance coverage and after 6 months I found a part time job. The first month I lost my voice completely. It has been over a year but the muscle tension has gotten so bad I can no longer stand it. I went to my ENT this past Monday and he switched me to Valium at night (instead of the Ambien I had taken the last 7 years). I had gotten addicted to Ambien because of severe insomnia I had for many years due to muscle discomfort. I went through some withdrawal but the Valium still helps me sleep and it seems to be helping take the edge off the muscle tension as well. I am starting to get my whisper back after having nothing at all, and the first thing in the morning I have some audible voice again for a while.



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Re: female hormones and voice disturbances....Chiropractic Care
Re: female hormones and voice disturbances....Chiropractic Care -- Sara S Top of thread Archive
Posted by: Kerry Absd ®
10/20/2004, 17:51:22


Sara do you have Ab or Ad type SD?
I have always noticed a hormonal influence on my SD. The week before I would get my period my voice would be very poor quality. It would improve immediately afterwards. I have entered the menopausal state recently and voice quality has become terrible. I asked my otolaryngologist (new doc as of August)and he said he is aware of the hormonal link. His theory is that since hormones affect the fluid retention in the rest of the body, it follows that they affect the quality of vocal cord muscles: less fluid = thinner cords. I find this very interesting, because I had always wondered about the link, but never read or heard anything from SD professionals or in the literature. I'm curious to know whether this situation would affect Adductors the same way it affects Abductors. I too would be interested in hearing from others who have noticed a hormonal connection. Glad you are on the board!



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Re: female hormones and voice disturbances....Chiropractic Care
Re: Re: female hormones and voice disturbances....Chiropractic Care -- Kerry Absd Top of thread Archive
Posted by: Laurie ®
10/20/2004, 20:24:44


I would be interested in hearing how this affects men.

Laurie




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Re: female hormones and voice disturbances....Chiropractic Care
Re: Re: female hormones and voice disturbances....Chiropractic Care -- Kerry Absd Top of thread Archive
Posted by: zenditz ®
10/22/2004, 12:36:23


Hi Sara,

I've only been suffering from ST for a few months, since this last May. I have noticed the same problem. My voice starts spassing out right as I become pre-menstral and almost immediatly returns to normal after my period. I'ld never ever thought about it much since I'ld never read or heard out it, I was worried was something worse. I'm stil very unaware of most dystonia terms so may I ask what adductors and abductors are?

Take care




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ADductor vs ABductor SD
Re: Re: female hormones and voice disturbances....Chiropractic Care -- zenditz Top of thread Archive
Posted by: David Barton ®
10/22/2004, 13:06:31


This extract from NIH website explains the difference between AD and AB SD quite clearly: (full link given below)

In adductor spasmodic dysphonia, sudden involuntary muscle movements or spasms cause the vocal folds (or vocal cords) to slam together and stiffen. These spasms make it difficult for the vocal folds to vibrate and produce voice. Words are often cut off or difficult to start because of the muscle spasms. Therefore, speech may be choppy and sound similar to stuttering. The voice of an individual with adductor spasmodic dysphonia is commonly described as strained or strangled and full of effort. Surprisingly, the spasms are usually absent while whispering, laughing, singing, speaking at a high pitch or speaking while breathing in. Stress, however, often makes the muscle spasms more severe.

In abductor spasmodic dysphonia, sudden involuntary muscle movements or spasms cause the vocal folds to open. The vocal folds can not vibrate when they are open. The open position of the vocal folds also allows air to escape from the lungs during speech. As a result, the voices of these individuals often sound weak, quiet and breathy or whispery. As with adductor spasmodic dysphonia, the spasms are often absent during activities such as laughing or singing.


Related link: NIH information about SD

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Re: female hormones and voice disturbances....Chiropractic Care
Re: female hormones and voice disturbances....Chiropractic Care -- Sara S Top of thread Archive
Posted by: kfeeley ®
10/22/2004, 14:02:14


Yes. I definitely notice a difference pre-menstrual. Actually, I hadn't noticed it until a speech therapist I tried prior to getting properly diagnosed asked me if it was worse pre-menstrual. She said that women with vocal problems often have that problem. And she didn't even know I had SD!

As if cramps, pimples, swollen breasts, and crankiness weren't enough lovely side effects of menstruation, now we have this to add to the list!




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Link - hormonal effects on voice
Re: Original message -- Top of thread Archive
Posted by: Micki ®
10/24/2004, 12:53:53


The attached link describes well-known hormonal effects on voice, and says that in females, timing of vocal surgery is crucial.

Related link: http://www.news-medical.net/?id=1011

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