> It seems ridiculous to me, and not to mention a > little over neurotic to not > take the pill because you're worried about the side > effects that will occur.
The ENT who has a regular column in Classical Singer magazine is constantly warning singers against taking the pill. He says that the differences are dramatic for some, and for others are so subtle that singers may not notice the detrimental effects until they stop. He also, recently, stresses that for many people, according to the most recent research, the effects are permanent, and the voice does not return to the way it was before.
If you belong to the magazine, his archives are online at http://www.classicalsinger.com/ .
On the other hand, this university website (a fabulous one, by the way, about all medications) says that the effects of the pill are normally temporary, and also cites that only 5% of women are adversely affected (although I would bet that statistic is from a study of all women, not just singers, since we would notice the changes more than the average talker -- Sudafed doesn't list dryness as a side effect, for example, because it's a statistically negligeable complaint; however, every singer I know who has taken lots of Sudafed has experienced dryness). This page also says:
"Hormone medications may cause substantial changes in voice quality due to alterations in fluid content, or to structural changes. Structural alterations in laryngeal architecture seldom occur as the result of pharmacologic influences, but androgens are an exception. They may produce permanent lowering of the fundamental frequencies, especially in females, and coarsening of the voice [footnote] 15-20. Androgenic agents are frequently used in the treatment of endometriosis and as part of chemotherapy regimens for breast cancer. Professional voice users especially should be informed of potential voice changes before these medications are employed, and their use should be avoided whenever possible. Birth control pills with relatively high progesterone content are most likely to produce androgen-like changes in the voice."
from http://www.upmc.edu/UPMCVoice/SataloffMed.htm
Information is always good; I don't consider it paranoia.
Isabelle B.
===== Isabelle Bracamonte San Francisco, CA ibracamonte@y...
__________________________________________________
|