Kymographic characteristics of voice in women with Polycystic ovary syndrome.

Saranya Blahayil,Dhanshree Rajesh Gunjawate,Radish Kumar Balasubramanium

doi:10.1590/2317-1782/20202020128

Saranya Blahayil, Dhanshree Rajesh Gunjawate + Show 1 more

Open Access

https://doi.org/10.1590/2317-1782/20202020128

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Abstract

Polycystic ovary syndrome (PCOS) is heterogenous condition with commonly associated symptoms include irregular menstrual cycle, hirsutism, baldness, adult acne, and weight gain There have been few attempts at profiling the voice characteristics of women with polycystic ovary syndrome. Videokymography enables to detect even subtle variationsin vocal fold vibrations. The aim of the present study was to study the videokymographic characteristics among women with PCOS. A cross-sectional study was carried out among 50 women with and without PCOS diagnosed on ultrasonography. Videokymography was carried out and the characteristics were perceptually analyzed using a vocal fold kymographic rating scale. The analysis of the kymogram was done for the following characteristics; presence of vocal fold vibration,interference of surroundings, Cycle to cycle variability, left-right asymmetry,cycle aberrations and shape of lateral peaks. The kymographic images were obtained for all the participants of both the groups and a subjective consensus evaluation was done by two clinicians. The percentage of participants with the listed kymographic characteristics were tabulated. Chi Square test was also done to decide if there was a significant difference between the two groups for different kymographic features of vocal fold vibration. Six of the 25 women with PCOS were found to have abnormal kymographic features such as surrounding structural interference, presence of cycle to cycle variability and the shape of lateral peaks. Early detection of the vocal abnormalities in individuals with PCOS would help in the vocal rehabilitation especially for professional voice users.

Highlights

Polycystic ovary syndrome (PCOS) is a heterogeneous condition seen in one out of fifteen women of reproductive age[1]
Hyperandrogenism is one of the most important features to be noted in the women with PCOS in which the excessive level of androgen leads to a deepening of voice
The present study aimed at characterizing the kymographic waveforms in 25 women with PCOS and 25 women controls

Summary

Introduction

Polycystic ovary syndrome (PCOS) is a heterogeneous condition seen in one out of fifteen women of reproductive age[1]. The conditions include oligo/anovulation, hyperandrogenism and polycystic ovaries[2]. Hyperandrogenism is one of the most important features to be noted in the women with PCOS in which the excessive level of androgen leads to a deepening of voice. Some of the commonly associated symptoms include irregular menstrual cycle, hirsutism, baldness, adult acne, and weight gain. It is a leading cause of infertility; if left untreated can lead to long-term risks of diabetes, endometrial cancer, cardiovascular diseases and stroke[4,5]

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