The problem of vocal changes around the time of menses is well known. The cause can be variable: hormonal shifts, fluid retention, prostaglandins (the chemicals that cause cramps), brain edema, fatigue, pain, and so on. It is difficult to give an all-encompassing explanation.
The best thing is to work with a doctor familiar with singers' health problems to work it out.
John
John Messmer, MD, Assistant Professor, Family & Community Medicine Medical Director, Penn State Geisinger Health Group, Palmyra, PA
"Try not. Do or do not; there is no 'try'." -- Yoda
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