Relevance of the voice in the process of gender affirmation in transsexual women: A cross-sectional study
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| Natura: | Artículo científico |
| Lingua: | en |
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Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
2022
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| author | Gabriela Ramírez-Arroyo |
| author_facet | Gabriela Ramírez-Arroyo |
| contents | Relevance of the voice in the process of gender affirmation in transsexual women: A cross-sectional study Gabriela Ramírez-Arroyo Rafael Jesús Salín Pascual Mario Sergio Dávalos Fuentes Medicina Voice quality of life transsexual women sex reassignment procedures Introduction. Voice is a gender marker and can therefore be a source of gender dysphoria. There is a relationship between symptoms of anxiety and depression and voice-related difficulties in trans women (TW). Hormonal replacement treatment (HRT) in TW does not play a role in voice feminization. Access to voice feminization procedures is limited while the population demanding transgender healthcare is increasing. Objective. To describe the degree of voice-related dysphoria experienced by TW that seek a voice feminization treatment.Method. A descriptive, cross-sectional study, 26 TW completed quality of life (QoL) questionnaires and stated their reasons for seeking voice feminization. Fundamental frequency (f0) was measured. Results .77% of the participants were legally recognized as women, 96% were under HRT, and 27% had a history of gender affirmation surgery. Median f0 for TW was 131 Hz. f0 had a poor correlation with QoL measures. The mean score in the Trans Women Voice Questionnaire was 95 (SD = 14.3). Achieving a feminine voice that allows gender conformity was the main reason for seeking treatment. Discussion and conclusion. Voice non-conformity affects QoL. None of the participants perceived their voice as feminine while 97% described their ideal voice as feminine. The inability to satisfy gender assurance needs has a detrimental effect on QoL. Improving access to affirmation procedures in public institutions without pathologization of transgender people is a pending agenda. Despite evidence that TW benefit from voice feminization treatments, it is difficult to define how to measure success. 2022 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58272436004 https://www.redalyc.org/journal/582/58272436004/ https://www.redalyc.org/journal/582/58272436004/html/ https://www.redalyc.org/journal/582/58272436004/58272436004.epub https://www.redalyc.org/journal/582/58272436004/movil 10.17711/SM.0185-3325.2022.016 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.3 Vol.45 |
| format | Artículo científico |
| id | redalyc_58272436004 |
| institution | Redalyc |
| language | en |
| publishDate | 2022 |
| publisher | Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz |
| spellingShingle | Relevance of the voice in the process of gender affirmation in transsexual women: A cross-sectional study Gabriela Ramírez-Arroyo Medicina Voice quality of life transsexual women sex reassignment procedures Relevance of the voice in the process of gender affirmation in transsexual women: A cross-sectional study Gabriela Ramírez-Arroyo Rafael Jesús Salín Pascual Mario Sergio Dávalos Fuentes Medicina Voice quality of life transsexual women sex reassignment procedures Introduction. Voice is a gender marker and can therefore be a source of gender dysphoria. There is a relationship between symptoms of anxiety and depression and voice-related difficulties in trans women (TW). Hormonal replacement treatment (HRT) in TW does not play a role in voice feminization. Access to voice feminization procedures is limited while the population demanding transgender healthcare is increasing. Objective. To describe the degree of voice-related dysphoria experienced by TW that seek a voice feminization treatment.Method. A descriptive, cross-sectional study, 26 TW completed quality of life (QoL) questionnaires and stated their reasons for seeking voice feminization. Fundamental frequency (f0) was measured. Results .77% of the participants were legally recognized as women, 96% were under HRT, and 27% had a history of gender affirmation surgery. Median f0 for TW was 131 Hz. f0 had a poor correlation with QoL measures. The mean score in the Trans Women Voice Questionnaire was 95 (SD = 14.3). Achieving a feminine voice that allows gender conformity was the main reason for seeking treatment. Discussion and conclusion. Voice non-conformity affects QoL. None of the participants perceived their voice as feminine while 97% described their ideal voice as feminine. The inability to satisfy gender assurance needs has a detrimental effect on QoL. Improving access to affirmation procedures in public institutions without pathologization of transgender people is a pending agenda. Despite evidence that TW benefit from voice feminization treatments, it is difficult to define how to measure success. 2022 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58272436004 https://www.redalyc.org/journal/582/58272436004/ https://www.redalyc.org/journal/582/58272436004/html/ https://www.redalyc.org/journal/582/58272436004/58272436004.epub https://www.redalyc.org/journal/582/58272436004/movil 10.17711/SM.0185-3325.2022.016 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.3 Vol.45 |
| title | Relevance of the voice in the process of gender affirmation in transsexual women: A cross-sectional study |
| topic | Medicina Voice quality of life transsexual women sex reassignment procedures |
| url | https://www.redalyc.org/articulo.oa?id=58272436004 https://www.redalyc.org/journal/582/58272436004/ https://www.redalyc.org/journal/582/58272436004/html/ https://www.redalyc.org/journal/582/58272436004/58272436004.epub https://www.redalyc.org/journal/582/58272436004/movil |