Fragile Vocal Cords: Lauren Conrad’s Raspy Voice

About Dr. Reena Gupta

Dr. Reena Gupta is the Director of the Division of Voice and Laryngology at OHNI. Dr. Gupta has devoted her practice to the care of patients with voice problems. She is board certified in otolaryngology and laryngology and fellowship trained in laryngology, specializing in the care of the professional voice.

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lauren conrad voice raspyReality star turned entrepreneur, Lauren Conrad, recently discussed how her voice has changed over the years. Conrad’s pre-MTV reality show voice is less raspy than the voice she currently uses, a fact which she blames on moving to Los Angeles.

“I destroyed my voice when I moved to L.A.  There are polyps all over my vocal chords (sic) because I was in a lot of loud places,” stated Conrad in an interview with Marie Claire magazine. From her description, it appears Lauren has fragile vocal cords that are prone to injury.

What are fragile vocal cords?

“Fragile vocal cords” is a term recently coined to refer to the fact that not all vocal cords respond the same to stresses.  People are aware of this as they complain that they lose their voice frequently and that friends do not get hoarse as often.

raspy voiceThe term means that some people’s vocal cords are more prone to swelling and injury than others.  Early in life (teenage years – early 20s), those people will get hoarse more often and more easily.  For example, after attending a football game, cheerleading, or going to a restaurant or bar, a person with fragile vocal cords will complain of being hoarse. However, this hoarseness resolves on its own, within 1-3 days.  Because the voice returns to normal, the person thinks nothing of it.

However, later in life (mid-20s to 30s), this hoarseness lasts longer and eventually may never completely resolve.  People for whom this happens are thought to have “fragile vocal cords.”

How do I know if I have fragile vocal cords?

People with fragile vocal cords get hoarse frequently and easily.  You may notice that when you go out with friends, your friends may sound normal the next day while you become hoarse.

This suggests that your vocal cords are more susceptible to injury and that you may have fragile vocal cords.

What causes hoarseness in people with fragile vocal cords?

People with fragile vocal cords more easily experience swelling of their vocal cords.  Swelling will produce instant hoarseness and the swelling can become permanent and cause permanent injury.

What should someone with fragile vocal cords do?

The most important thing is to recognize you may have fragile vocal cords and seek evaluation.  The only way to determine if you are prone to vocal injury is to seek evaluation by a laryngologist  and have a videostroboscopy.

If you feel you are someone who is prone to vocal injury, it is critical to determine risk factors in your own life.  These may include:

Lauren Conrad cited one of the most common culprits: being in loud places.  In particular, because these problems begin in the teenage years and the 20s when people go out the most, it is important to identify early in life if you are prone to vocal injury.

raspy vocal cords
Normal vocal cords are seen on the left. Vocal cord swelling, seen on the right, show the vocal cords as more gray and dark.

Is this damage reversible?

If caught early (teenage – 20s), it is possible to catch these problems before they become irreversible.  However, if you wait until the time when the periods of hoarseness last long or require medications such as steroids, it may be too late to fully restore the voice.

For the voice, no cure is better than prevention.  While surgery and new treatments can improve the voice, early detection and prevention is the key to vocal protection.

Read patient stories about Dr. Reena Gupta from The Division of Voice at the Osborne Head and Neck Institute.

To learn more about the voice, click here.