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In Reply.—We are in complete agreement with Dr Brodnitz that the finding of our study that premenstrual hoarseness is a rarely occurring condition among young women with no vocal training cannot be readily generalized to professional users of voice. As a matter of fact, we stated the following comments in our article (Archives 104:7-10, 1978):
The finding that the typical young woman with no career demands on her voice does not become hoarse at premenstruation does not, of course, rule out the possibility that there are women who do routinely become hoarse at premenstruation, although they probably would be quite rare. Among European opera singers, however, hoarseness as well as diminished intensity and reduced range resulting from a loss of high notes apparently are commonly anticipated, if not experienced, at premenstruation.... Whether this apparent differential effect of the menstrual cycle on untrained as opposed to trained voices reflects
SILVERMAN E. Menstrual Cycle and Voice Quality-Reply. Arch Otolaryngol. 1979;105(5):300. doi:10.1001/archotol.1979.00790170070023