Research and vocal pedagogy resources on the effects of female hormonal fluctuations on the singing voice are limited. This paper analyzes the current state of literature that reports how hormonal changes affect vocal health and performance. Drawing on both standard college-level vocal pedagogical sources as well as case studies regarding female singers, this review pinpoints disparities such as the absence of educational awareness in vocal training and studies focusing on speakers rather than singers. Older pedagogical texts which advise abstinence from singing during menstruation and pregnancy often ignore hormonal disorders, but contemporary research challenges these thoughts using singer-focused studies and updated technological and medical advances. The analysis of approximately twenty-five case studies in addition to vocal pedagogy sources reveal a call for more research on this topic. This review emphasizes the need for more scientifically informed education and research that acknowledges these effects in singers.