Submitted by Anonymous (not verified) on Sat, 2012-04-07 14:08 Forums: Transgender voice Dear Dr. Thomas, Do you work with transgender men whose voices have not sufficiently dropped on hormone replacement therapy? Thank you Submitted by James P Thomas MD on Sat, 2012-04-07 14:08 Permalink I have, though I will say I have, though I will say that it is a tough problem to solve. It is possible to drop the pitch, although some surgical procedures will also reduce the volume significantly. Another issue is resonance which requires a larger throat to amplify lower pitches. Certainly an examination will help to determine what could or could not be done.