The Efficacy of Gender-Affirming Voice and Communication Therapy-A Systematic Review

Journal of Voice

Lorimer, G., & Rutter, B. (2025).

Journal of Voice, Advance online publication. https://doi.org/10.1016/j.jvoice.2025.01.014.

<div>This systematic review investigates the effects of voice and communication therapy on gender congruence for transgender and gender diverse individuals.</div>

Department of Health Sciences at the University of Sheffield (UK)



From 2003 to May 22, 2023

<div>Published, original research studies</div>

8

<div>Gender-affirming therapeutic intervention modified acoustic measures to be in line with gender specific goals (e.g., raising speech fundamental frequencies to pitches perceived as feminine or gender neutral and raising formant frequencies to those perceived as a more feminine resonance profile). Beneficial interventions may include oral resonance therapy, vocal function exercises, and home therapy programs. Intensive and traditional therapy showed similar results, as did individual therapy and hybrid therapy models.</div> <div>&nbsp;</div> <div>Limitations to this review included the small number of studies included, the small sample sizes of the included studies, and the potential for publication bias.</div>

<div>Most participants were satisfied with their voices following gender-affirming voice therapy and showed increase self-confidence and social participation. Limitations to this review included the small number of studies included, the small sample sizes of the included studies, and the potential for publication bias.</div>