“…In the earliest study, Hannoun et al evaluated vocal symptoms along with acoustic voice parameters in 17 patients with PCOS and 21 healthy controls, and they reported more vocal symptoms but similar acoustic voice characteristics in PCOS patients compared to controls. 13 In this study, a standardized self-assessed questionnaire such as VHI was not requested, and their laryngeal examination aimed to define only the presence of vocal fold edema and nodule. Subsequently, studying 24 patients with PCOS and 10 healthy controls in detail, Gugatschka et al also reported similar VHI scores and similar acoustic voice characteristics in both groups.…”