Effects of Infertility on Voice in male patients

Kemal Koray Bal; Sedat Alagoz; Vedat Delibas; Ferhat Ortoglu; Betul Ceylan; Talih Ozdas; Gokhan Kuran; Orhan Gorgulu

doi:10.1007/s12070-022-03130-0

Effects of Infertility on Voice in male patients

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5199-5206. doi: 10.1007/s12070-022-03130-0. Epub 2022 Jul 30.

Authors

Kemal Koray Bal¹, Sedat Alagoz², Vedat Delibas³, Ferhat Ortoglu⁴, Betul Ceylan⁵, Talih Ozdas⁶, Gokhan Kuran⁷, Orhan Gorgulu⁸

Affiliations

¹ Otorhinolaryngology Department,Lecturer Otorhinolaryngology Specialist, University of Mersin, Mersin, Turkey.
² Otorhinolaryngology Department, Specialist Doctor, University of Health Sciences Adana City Training and Research Hospital, Yuregir, Adana, Turkey.
³ Otorhinolaryngology Department,Research Assistant Doctor, University of Health Sciences Adana City Training and Research Hospital, Yuregir, Adana, Turkey.
⁴ Urology Department, Specialist Doctor, University of Health Sciences Adana City Training and Research Hospital, Yuregir, Adana, Turkey.
⁵ Speech and Language Therapist, Otorhinolaryngology Department, University of Health Sciences Adana City Training and Research Hospital, Yuregir, Adana, Turkey.
⁶ Otorhinolaryngology Department,Associate Professor, University of Health Sciences Adana City Training and Research Hospital, Yuregir, Adana, Turkey.
⁷ Otorhinolaryngology Department,Associate Professor, University of Health Sciences Adana City Training and Research Hospital, Adana, Turkey.
⁸ Otorhinolaryngology Department,Professor , Ozel Adana Ortadogu Hospital, Adana, Turkey.

Abstract

Purpose: In this study, we aimed to determine the differences in normospermic, oligospermic and azoospermic infertile men by performing voice analysis and to discuss this in the light of the literature.

Methods: 71 male patients who applied to the urology clinic due to infertility and were then referred to us were included in the study. Hormone analysis and spermiogram were requested from the patients for routine infertility tests. Testosterone, Follicle stimulating hormone (FSH), Luteinizing hormone (LH), Prolactin levels of the patients were recorded. Age and spermiogram results were recorded. According to the spermiogram results, the patients were categorized as Group 1 (azoospermic), Group 2 (oligospermic), Group 3 (normospermic). Voice Handicap Index-10 Turkish version (VHI-10) was applied to the patients and the results were recorded.

Results: The age of the infertile patients ranged from 20 to 37. The mean age was 28.23. The distribution of the patients was 21 patients in Group 1, 40 patients in Group 2, and 10 patients in Group 3. The mean Testosterone level of the patients was 2.78; mean FSH level 12.14; mean LH level 7.26; mean Prolactin level was 8.1. The mean VHI-10 scores of the patients were 10.52. The fundamental frequency F0 Hz (mean pitch) values of the patients were 176,468; jitter % (frequency perturbation jitter) values average 0.25; shimmer % (amplitude perturbation shimmer) values average 2,322; HNR dB values averaged 24,862.

Conclusions: Testosterone is more effective on the voice, especially in male individuals.It would be more logical to think that many hormones, growth factors and local factors are effective instead of a single hormone.

Keywords: Hormones; Infertility; Male; Phonation; Voice; Voice Quality.