An Overview of Premenstrual Voice Syndrome: Definition, Treatment, and Future Trajectories

2020 ◽  
Vol 35 (1) ◽  
pp. 59-65
Author(s):  
Sasha L Kaye

For classical singers, performing in peak condition is optimal at all times in an industry which demands excellence. The slightest variability in a singer’s physiology can influence sound quality and production; in severe instances, a singer’s career longevity may be compromised. Researchers have observed an effect of menstrual cycle hormone variability on the voice, compromising tone quality, agility, and stamina. For a subset of these singers, the effect of hormone variability on voice production is especially severe. This phenomenon has been termed premenstrual voice syndrome (PMVS) among singers, although there has been little empirical research on PMVS, which complicates matters related to defining, taxonomizing, and treating the condition. This article offers an overview of existing research related to PMVS, identifies gaps in definitional and categorical boundaries between PMVS and premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD), and offers recommendations for symptom management as well as suggestions for pedagogues and teachers to better educate themselves and their students about PMVS.

2020 ◽  
Author(s):  
Mingzhou Gao ◽  
Hui SUN ◽  
Changlong ZHANG ◽  
Dongmei GAO ◽  
Mingqi QIAO

Abstract Background The global incidence of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) is increasing, with increasing suicide reports. However, the bibliometric analysis of global research on PMS and PMDD is rare. We aimed to evaluate the global scientific output of research on PMS and PMDD and to explore their research hotspots and frontiers from 1945 to 2018 using a bibliometric analysis methodology.Methods Articles with research on PMS and PMDD between 1945 and 2018 were retrieved from the Web of Science Core Collection (WoSCC). We used the bibliometric method, CiteSpace V and VOSviewer to analyze publication years, journals, countries, institutions, authors, research hotspots, and trends. We plotted the reference co-citation network, and we used keywords to analyze the research hot spots and trends.Results We identified 2,833 publications on PMS and PMDD research from 1945 to 2018, and the annual publication number increased with time, with fluctuations. Psychoneuroendocrinology published the highest number of articles. The United States ranked the highest among the countries with the most publications, and the leading institute was UNIV PENN. Keyword and reference analysis indicated that the menstrual cycle, depression and ovarian hormones were the research hotspots, whereas prevalence, systematic review, anxiety and depression and young women were the research frontiers.Conclusions We depicted overall research on PMS and PMDD by a bibliometric analysis methodology. Prevalence and impact in young women , systematic review evaluations of risk factors, and the association of anxiety and depression with menstrual cycle phases are the latest research frontiers that will pioneer the direction of research in the next few years.


Author(s):  
Peter Townsend

Voice and singing are fundamental to music. Scales and content reflect our personal culture. Something beautiful and inspiring to one person may be a boring cacophony to another. Viewing musical evolution from the perspective of culture is therefore varied and individual. Input from science is generally less obvious, except for changes generated from acoustics of buildings, broadcasting, and electronic sound equipment. Medical studies reveal how we form sounds and tone quality, and modern electronic signal processing shows the complexity of the harmonic content of singing. The changes between sweetness, harshness, carrying power, and so on, all depend on not just volume, but the fundamental note and its harmonics, plus all the other frequencies generated in our vocalization. One fundamental may have 50 or more other frequencies. This signal processing tool is invaluable for understanding voice production.


2021 ◽  
Vol 16 (1) ◽  
pp. 11-14
Author(s):  
Florica SANDRU ◽  
◽  
Mihai Cristian DUMITRASCU ◽  
Eugenia PETROVA ◽  
Adina GHEMIGIAN ◽  
...  

Premenstrual syndrome (PMS), including the severe subtype premenstrual dysphoric disorder (PMDD), DSM-5 category, represents a challenging combination of hormonal, environmental and neuroendocrine dysfunctions with menstrual cycle-related pattern. Controversies around the role of daily stress and associated anomalies of hypothalamic-pituitary-adrenal axis are related to the fact that stress is all the time, not just a fluctuating element. This is a narrative review on PMS/PMDD and cortisol profile. 46 articles are cited (between 2009 and 2020). PMD/PMDD underlines multiple imbalances and anomalies of the cortisol levels or its secretory pattern may be a few of them, despite the fact that multiple controversies are still present and most of studies are of limited statistical power. Women with PMS may have higher levels of cortisol in relationship to stress independently of the cycle phase, also a delay of CAR (cortisol awakening response) peak and a delayed cortisol slope during day time. It does not seem that CAR pattern is related to the phases of menstrual cycle. CAR anomalies may be associated with pain perception disturbances in PMS females. The most modern area of interest is related to allopregnanolone, a progesterone metabolite with neuroactive profile. The diurnal serum baseline cortisol and the values of cortisol after dexamethasone suppression test may be similar between patients with PMS and without, but the females with PMS that have higher allopregnanolone associate blunted values of cortisol during the night versus control (without PMS) and versus women with low allopregnanolone levels, thus proving a suboptimal response to stress. Allopregnanolone modules GABA receptors on a paradoxical manner inducing anxiety and irritability during luteal phase on women with a specific predisposal configuration of GABA receptor as those confirmed with PMDD. Overall, PMS/PMDD impairs the quality of life, thus the more we understand about its pathogeny, the easier it gets to control it.


2020 ◽  
Vol 91 (9) ◽  
pp. 503-512
Author(s):  
Mariola Czajkowska ◽  
Agnieszka Drosdzol-Cop ◽  
Beata Naworska ◽  
Iwona Galazka ◽  
Celina Gogola ◽  
...  

2013 ◽  
Vol 6 (5) ◽  
pp. 302-306
Author(s):  
Shiva Shanmugaratnam ◽  
Hari Shanmugaratnam ◽  
Miss Maryam Parisaei

Premenstrual syndrome (PMS) is characterised by cyclical physical, behavioural and psychological symptoms occurring during the luteal phase of the menstrual cycle (the time between ovulation and the onset of menstruation). The symptoms disappear or significantly regress by the end of menstruation. Premenstrual dysphoric disorder (PMDD) is a more severe variant of premenstrual syndrome. PMS is common and severe symptoms can have detrimental effects on a woman's quality of life. GPs play a key role in the diagnosis and management of these conditions. This article aims to provide an overview of the current evidence and guidelines for recognising and managing PMS in general practice.


2021 ◽  
Vol 9 ◽  
Author(s):  
Mingzhou Gao ◽  
Dongmei Gao ◽  
Hui Sun ◽  
Xunshu Cheng ◽  
Li An ◽  
...  

Background: The global incidence of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) is increasing, with increasing suicide reports. However, the bibliometric analysis of global research on PMS and PMDD is rare. We aimed to evaluate the global scientific output of research on PMS and PMDD and to explore their research hotspots and frontiers from 1945 to 2018 using a bibliometric analysis methodology.Methods: Articles with research on PMS and PMDD between 1945 and 2018 were retrieved from the Web of Science Core Collection (WoSCC). We used the bibliometric method, CiteSpace V and VOSviewer to analyze publication years, journals, countries, institutions, authors, research hotspots, and trends. We plotted the reference co-citation network, and we used keywords to analyze the research hotspots and trends.Results: We identified 2,833 publications on PMS and PMDD research from 1945 to 2018, and the annual publication number increased with time, with fluctuations. Psychoneuroendocrinology published the highest number of articles. The USA ranked the highest among the countries with the most publications, and the leading institute was UNIV PENN. Keyword and reference analysis indicated that the menstrual cycle, depression and ovarian hormones were the research hotspots, whereas prevalence, systematic review, anxiety and depression and young women were the research frontiers.Conclusions: We depicted overall research on PMS and PMDD by a bibliometric analysis methodology. Prevalence and impact in young women, systematic review evaluations of risk factors, and the association of anxiety and depression with menstrual cycle phases are the latest research frontiers that will pioneer the direction of research in the next few years.


2015 ◽  
Vol 28 (6) ◽  
pp. 492-498 ◽  
Author(s):  
Mariola Czajkowska ◽  
Agnieszka Drosdzol-Cop ◽  
Iwona Gałązka ◽  
Beata Naworska ◽  
Violetta Skrzypulec-Plinta

2017 ◽  
Vol Ano 7 ◽  
pp. 15-23
Author(s):  
Leiliane Aparecida Diniz Tamashiro ◽  
Bianca Cristina Tunes Nakad ◽  
Joel Rennó ◽  
Antônio Geraldo da Silva ◽  
Renan Rocha ◽  
...  

Objetivo: Elucidar as principais hipóteses atuais sobre o transtorno disfórico pré-menstrual (TDPM), a síndrome pré-menstrual (SPM) e a terapia cognitiva comportamental (TCC) como tratamento. Método: Foi realizada uma pesquisa nos bancos de dados PubMed, Cochrane e BIREME (LILACS/BVS), nos idiomas português, espanhol e inglês, no período de 2000 a 2017, utilizando os seguintes descritores: transtorno disfórico pré-menstrual, síndrome prémenstrual e terapia cognitiva comportamental. Resultados: Um total de 107 estudos enquadrou-se nos critérios de inclusão – artigos de revisão da literatura, estudos do tipo corte transversal, estudos do tipo coorte prospectivo e estudo do tipo coorte retrospectivo. Cento e cinco estudos identificaram fatores fundamentais para o desenvolvimento da TDPM – as hipóteses da função ovariana, função hormonal, neurotransmissores, genética e fatores ambientais e vulnerabilidade. Desde 2009, temos estudos sobre a TCC como tratamento de primeira linha. Conclusão: Os fundamentos do TDPM podem ser vistos como uma complexa multiplicidade de fatores. Ainda não há nada conclusivo; futuras pesquisas são necessárias para definir os processos etiopatogênicos do TDPM. A TCC demonstrou sua eficácia como tratamento de primeira linha para SPM e TDPM.


Cephalalgia ◽  
2000 ◽  
Vol 20 (3) ◽  
pp. 148-154 ◽  
Author(s):  
S D Silberstein ◽  
G R Merriam

The normal female life cycle is associated with a number of hormonal milestones: menarche, pregnancy, contraceptive use, menopause, and the use of replacement sex hormones. All these events and interventions alter the levels and cycling of sex hormones and may cause a change in the prevalence or intensity of headache. The menstrual cycle is the result of a carefully orchestrated sequence of interactions among the hypothalamus, pituitary, ovary, and endometrium, with the sex hormones acting as modulators and effectors at each level. Oestrogen and progestins have potent effects on central serotonergic and opioid neurons, modulating both neuronal activity and receptor density. The primary trigger of menstrual migraine appears to be the withdrawal of oestrogen rather than the maintenance of sustained high or low oestrogen levels. However, changes in the sustained oestrogen levels with pregnancy (increased) and menopause (decreased) appear to affect headaches. Headaches that occur with premenstrual syndrome appear to be centrally generated, involving the inherent rhythm of CNS neurons, including perhaps the serotonergic pain-modulating systems.


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