Trans Erkeklerde Uzun Dönem Androjen Tedavisinin Sesle İlişkili Sonuçları

Amaç: Bu çalışmanın amacı trans erkek bireylerde uzun süreli androjen tedavisinin sesle ilişkili sonuçlarını değerlendirmektir.Yöntem: En az bir yıldır hormon tedavisi gören trans erkek bireyler değerlendirmeye alındı. Sesin Erkeksiliğini Algısal Değerlendirme (SPVM) ölçeği, trans erkekler için uyarlanmış Transseksüel Ses Anketi (a-TVQFtM), Sesle ilişkili Yaşam Kalitesi (V-RQOL) ve fundamental frekans (f0) ses sonuç ölçütleri kullanıldı.Bulgular: Çalışmaya dahil edilen 13 trans erkek bireyin yaş ortalaması 26.15 idi. Medyan SPVM skoru 4 olup biraz erkeksi algılandığı gözlendi. Medyan f0 skoru 119 Hertz idi ve Türk erkek normatif verilerinden farklı değildi. Medyan a-TVQFtM skorlarındaki azalma eğilimi ve medyan V-RQOL ölçek skorlarında artış eğilimi, medyan f0 skorlarının düşüşü ile uyumlu idi. İki bireyin f0’ı cinsiyet belirsiz ses aralığındaydı ve % 15,4'lük bir başarısızlık gözlendi. Cinsiyeti belirsiz ses aralığında olan bu iki bireyden biri sesini nötral algılarken diğeri sesini çok erkeksi algıladı. Sonuç: Karşı cins hormon tedavisi, tedavi isteyen trans erkek bireyler için erkeksi ses elde etmede etkilidir. Ses perdesini düşürücü etkisi, trans bireylerin sesle ilgili yaşam kalitesinde, özellikle de ses kimliği ile ilişkili anlamlı iyileşme sağlamaktadır. Bazı olgularda, erkek ses aralığı elde edilemeyebilir. Böyle bir durumda, tedavi sonuçları ve ek müdahalelerin gerekliliği dikkatle değerlendirilmelidir.

Anahtar Kelimeler:

Ses, Hormon tedavisi, transseksüel, testosteron, yaşam kalitesi, öz algı

Voice-related Outcomes after Long-Term Androgen Treatment in Trans Males

Objective: The aim of this study was to evaluate voice-related outcomes of long-term androgen treatment in trans male individuals.Methods: Trans male individuals who were under hormone treatment for at least one year were evaluated. Self-Perception of Voice Masculinity (SPVM) scale, adapted Transsexual Voice Questionnaire for trans males (a-TVQFtM), Voice-related Quality of Life (V-RQOL), and the mean fundamental frequency (f0) were used to assess voice outcomes. Results: Of the thirteen trans male individuals in this study, the mean age was 26.15 years. The median SPVM was 4, which equated to “somewhat male”. The median f0 was 119 Hz and did not differ from Turkish cisgender male normative data. The median a-TVQFtM scores showed a decreasing trend and the median V-RQOL scale scores showed an increasing trend in accordance with the decrease of median f0 scores. Two individuals were within a gender ambiguous f0 range and a failure rate of 15.4% was observed. Of these two individuals who were still within a gender ambiguous f0 range, one perceived his voice as gender neutral, while the other one perceived his voice as very male.Conclusion: Cross-sex hormone treatment was largely effective in voice masculinization for trans male individuals seeking treatment. Its pitch lowering effect is associated with a significant improvement in the voice-related quality of life of trans individuals, especially in vocal identity. In some cases, a cisgender male frequency may not be achieved. This situation should be evaluated with caution when discussing treatment outcomes and the necessity of additional interventions.

Keywords:

Voice, hormone therapy, transgender, testosterone, quality of life, self-perception,

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