"Some combination pills may have a temporary lowering of the voice, making it somewhat difficult to sing in the upper part of the voice. Singers who perform internationally should be sure they fill their prescriptions in the U.S., as some pills outside the U.S. are less regulated and may contain androgenic agents that can permanently lower the voice."

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Ms. Emerich, Voice Pathologist and Singing Voice Specialist at the Wilbur James Gould Voice Center, a Division of the Denver Center for the Performing Arts and site for the National Center for Voice and Speech, has worked extensively with healthy and injured voices, specializing in the care of the injured speaking and singing voice. She completed a degree in vocal performance before completing her master's degree in communicative disorders at the University of Wisconsin-Madison, and continues to sing professionally. She spent l993-l998 working with Drs. Robert T. Sataloff, Joseph R. Spiegel, and Karen M. Lyons in Philadelphia in a private practice specializing in care of the professional voice. Kate has published numerous articles regarding voice and singing voice issues and lectures frequently to young singers on the care of the voice and prevention of voice problems. She is an internationally recognized clinician in the area of voice disorders. Copyright © 2000 The National Center for Voice and Speech