Hormonal shifts during perimenopause can also affect the voice, leading to hoarseness or a deeper tone. An increasing number of women between the ages of 40 and 60 report vocal changes, yet few realize that these may be linked to menopause and shifting hormone levels.
Frequent throat clearing, coughing, and vocal changes can result from changes in the larynx — particularly dryness and increased mucus on the vocal cords — caused by hormonal imbalances.