Die Trans*Voice-Speech-Therapy
(Male-to-Female (MtF))

Born as a biological man, mostly marked vocally clearly as a man by the deep vocal sound, women seek, while in their transition from man to woman, for help to vocally express their femininity. A competent support is needed, which is familiar with the topic of vocal feminization with all ups and downs and which specializes in the special needs in vocal passing. The Trans*Voice-Speech-Therapy is based on extensive expertise, empathy and collaboration. We will get to know you where you are and accompany you as a partner on your journey to the female voice.

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Voice Feminization Surgery – yes or no?

A vocal feminization operation is a sensible option beside the vocal therapy if: a) the client has great difficulty raising (or even failing) the pitch, b) failing to transfer the elevated pitch into everyday life, c) the pitch in situations such as coughing and sneezing unintentionally decreases, d) the use of the female voice leads to severe pain or tension. (Södersten et al., 2019).
In the MEDICAL VOICE CENTER we offer a voice feminization package (Glottoplastik plus Trans*Voice-therapy). In our opinion and out of deep conviction, the combination of voice-enhancing surgery embedded in exercises on all other aspects relevant to the female voice offers the most compelling results. The international current study situation supports this model.
Of course, you can also opt only for voice work without surgery, we also like to support you in this way. A decision on glottoplasty is possible at any time should you feel that the results are not satisfactory without surgery.

Trans*Voice-Speech-Therapy in combination with the surgery „Glottoplastiy“ as a complete package.

This „package“ includes the voice-enhancing surgery „Glottoplastik“ with pre- and aftercare as well as 10 hours Trans*Voice-Speech-Therapy. The vocal therapist and the operating physician lead the first conversation together with the client. During this conversation interdisciplinary questions can be clarified and good insights into the upcoming vocal transition can be gained. For existing vocal problems, first exercises will be developed to create the conditions for a later better voice. The rest of the lessons will take place after the operation to help you get started in the new voice and to help you with healthy voice use. When planning your follow-up appointments, we try to combine medical and orthopedic measures so that your arrival can be used as effectively as possible. Individual questions can also be processed via Skype, but we only make limited use of this technical possibility to ensure the quality and accuracy of fine voice work.

Since the majority of our clients are not from Hamburg, we would like to offer you a first introduction and an understanding of working on your feminine voice with these 10 hours. We are happy to assist you in finding a vocal therapist close to your home for the rest of the course and look forward to further exchanges should this be desired.

Content of the Trans*Voice-Speech-Therapy

1. Understanding the vocal and speech processes
2. Own and external perception of speech and personal impact
3. Formulate wishes, goals and role models
4. Exercises for warm-up, cool-down as well as for prophylaxis and voice hygiene
5. Exercises on female articulation, speech melody and speech
6. Working out the female pitch (if necessary)
7. Reinforce the female resonances
8. Resilience training of the new voice without overloading the larynx
9. Body language – development of an individual and authentic body language
(e.g., facial expressions / gestures / body tension (tone) / posture / movement / expression)
10. Exercises for the home

Content without a voice-feminization surgery

Techniques for raising the voice pitch, taking into account muscular possibilities

Topics of Trans*Voice-Speech-Therapy

Anamnesis, diagnosis, general impression, discussions, self-disclosure
Voice diagnostics, voice field measurement, voice recordings
General sanitary measures
Understanding of vocal and speech processes
Relationships between respiratory pressure and voice use, phonation and articulation
Resonance / Tuning Areas / Timbre
Speech melody (prosody), modulation
Flexible change of the vocal tract to obtain female resonances
Create a finer, more precise, more flexible articulation
Development of natural, female stress patterns
Vocabulary, syntax, topics
„Gender typical“ word choice and sentence structure
Nonverbal communication
Movement and gestures, appearance, posture, facial expressions
avoid badly controlled natural sounds
Avoidance of unphysiological and hard voice missions
Information on postoperative voice behavior