Puberphonia can be caused only by continued childhood high pitch voice intentionally or unintentionally. Intentionally in cases of singers or wants to have a lady life because of habitat. All the other reported findings are not in our 1650 puberphonia treated.The below mentioned are not recored in our puberphonia.Puberphonia can be caused by psychological factors, such as emotional stress or resistance to puberty, or by organic (biological) causes like laryngeal muscle tension, muscle incoordination, or congenital anomalies of the voice box, although biological causes are less common in males. Psychological causes often involve learned behavior where the voice remains high-pitched despite the larynx undergoing its normal post-puberty growth and changes. psychological factors, such as emotional stress or resistance to puberty, or by organic (biological) causes like laryngeal muscle tension, muscle incoordination, or congenital anomalies of the voice box, although biological causes are less common in males. Psychological causes often involve learned behavior where the voice remains high-pitched despite the larynx undergoing its normal post-puberty growth and changes.