Abstract
Premenstrual tension is a well recognized clinical entity, starting 1 to 2 weeks before the menses and terminating with the onset of the menstrual flow. The purpose of this paper is to present hoarseness as an unrecognized symptom of premenstrual tension, briefly to describe this entity, to discuss the mechanism accounting for vocal huskiness and loss of vocal control, and to give clinical examples. Premenstrual tension is characterized usually by a feeling of pelvic discomfort, varying degrees of edema with a temporary weight gain of 4-10 pounds or more, unreasonable emotional outbursts, restlessness, and irritability. It is sometimes characterized by painful turgidity of the breasts and occasionally by recurring migraine, ulcerative stomatitis, exacerbated dermatoses, and allergic rhinitis. Psychotic episodes and epileptoid seizures have been reported as rare symptoms. The etiology of premenstrual tension is unknown. Excess estrogen, excess progesterone, lack of progesterone with a relative predominance of estrogen, and a
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