Which Specialist to Consult for Voice Changes at 23?

Q: Which Specialist to Consult for Voice Changes at 23?

Hello： In response to your question, aside from the voice, I'm not sure if other male secondary sexual characteristics have fully developed. <br>If it's only a voice issue, you may want to consult an otolaryngologist. <br>If there are no changes in secondary sexual characteristic

Which specialty should I see?

If you are 23 years old and your voice has not deepened, you may want to consult an endocrinologist, who specializes in hormone-related issues.
Regarding the use of male hormones, such as testosterone, it is important to discuss this with a healthcare professional, as there can be side effects associated with hormone therapy, including changes in mood, skin issues, and potential impacts on fertility.

Rex, 20~29 year old female. Ask Date: 2007/11/02

Dr. Lai Junlong reply Family Medicine

Hello: In response to your question, aside from the voice, I'm not sure if other male secondary sexual characteristics have fully developed.
If it's only a voice issue, you may want to consult an otolaryngologist.
If there are no changes in secondary sexual characteristics during puberty, I recommend seeking an appointment with a pediatric clinic that specializes in growth and development or an endocrinology clinic.

Reply Date: 2007/11/02

More Info

If you are 23 years old and have concerns about your voice not deepening as expected, it is advisable to consult an Ear, Nose, and Throat (ENT) specialist, also known as an otolaryngologist. This specialist can evaluate your vocal cords and overall vocal health to determine if there are any underlying medical issues contributing to your voice not changing.
In addition to an ENT, you might also consider consulting a speech-language pathologist (SLP) who specializes in voice therapy. They can provide targeted exercises and techniques to help you modify your voice, which may be beneficial if your voice has not matured as you desire.

Regarding the use of male hormones, such as testosterone, it is important to approach this option with caution. Hormone therapy can lead to significant changes in your voice, typically resulting in a deeper tone. However, it is crucial to discuss this with a healthcare provider who specializes in endocrinology or transgender health. They can provide you with a comprehensive understanding of the potential benefits and risks associated with hormone therapy.

Some common side effects of testosterone therapy may include:
1. Voice Changes: While many seek deeper voices, the extent and permanence of voice changes can vary from person to person.

2. Skin Changes: Increased oiliness and acne may occur.

3. Hair Growth: Increased body and facial hair growth is common.

4. Mood Changes: Some individuals report mood swings or increased aggression.

5. Reproductive Health: Testosterone can affect fertility and menstrual cycles in individuals assigned female at birth.

It is essential to have a thorough discussion with your healthcare provider about your goals, concerns, and any potential side effects before starting hormone therapy. They will likely conduct a physical examination, review your medical history, and possibly run some tests to ensure that you are a suitable candidate for hormone therapy.

In summary, for voice changes at the age of 23, start by consulting an ENT specialist to assess your vocal health. If you are considering hormone therapy, seek guidance from an endocrinologist or a healthcare provider experienced in transgender health to discuss the implications and side effects of testosterone. Voice therapy with a speech-language pathologist can also be a valuable resource in helping you achieve the vocal changes you desire.

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