The voice has gender-specific characteristics. Pitch, vocal range, timbre and vocal strength, but also gender-specific communication (appearance, flow of speech, speech content and style) determine which gender is perceived. Gender classification is primarily based on speech melody, tone of voice and pitch. While male voices are typically more monotonous and fuller, female voices have a more melodious and brighter sound.

Targeted exercises that cause the muscles of the larynx and the attachment tube to become more flexible can achieve a higher mid-range speaking voice, a brighter vocal tone and therefore a more feminine voice.

There are purely anatomical limits to adjusting the pitch. “Simply speaking higher” carries the risk of incorrect strain on the muscles and can lead to chronic voice problems such as persistent hoarseness. The therapy goals and the therapy methodology must therefore be individually adapted to each patient. Other aspects of therapy include changing vocal resonance, expanding vocal dynamics and working on body language and feminine expression.

Handling the voice is closely linked to the personality and personal condition of the person with the voice. Here, it is possible to compare one's own resources with one's ideas and expectations, to develop realistic therapy goals and thus to create acceptance of one's own voice.

In many cases, a prescription for voice transition is issued by the supervising psychologist. However, patients can also find their way to a speech therapy practice via their ENT and GP practice.