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Nodules and Progesterone only contraceptive pill!

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Hi there,

I have been singing professionally for 2 years, and before that for as long as I can remember, and have suffered from very few vocal problems. 2 months ago, however, I switched from taking a combined contraceptive pill to a progesterone only pill, and 2 days ago was diagnosed with small vocal nodules. At first, I believed that they must be due to a technique issue in both my singing and speaking voice, but now think they could be partially attributed to the progesterone only pill? I did a bit of research today and found out that these pills can cause a lack in general mucosal secretions, and so my vocal cords may not be lubricating properly, thus creating excess friction and causing nodules. I do not think I have altered my vocal technique at all, and have not suffered any vocal problems in the past 2 years, prior to this.

Has anything like this happened to anyone else, or does anyone have any advice on the matter?

All responses will be greatly appreciated!


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Progesterone does change the fluid balance in the body, so this might be a connection. I haven't actually seen voice patients with this exact complaint but it makes some sense. Its also possible that the Pill has somehow changed your subtle awareness of lower body (bloating more/less?) so that you're breathing differently.

Obviously the nodules need to be treated: by partial voice rest ("half as much half as loud"), and DON't try to squeeze voice to sound "normal" unless you're being paid a lot, as this will prolong the problem --

Steam treatments, humidifier, and Mucinex (over the counter) may help keep you more lubricated now and in the long run.

contact me off list FMI or ask the person who diagnosed your nodules for a referral to speech therapy with a voice specialist.

take care -- Joanna

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