I am told I do. I did have voice therapy several times that seemed to help my vocal chords some.

My "vocal fold paresis" was caused by misdiagnosed insect-borne illness. It became late-state disseminated illness without early treatment. My laryngeal nerve was affected....one of many sequelae that were not understood - by me or the doctors I consulted - for a long time.
'Pacing myself,' by limiting conversations, especially when acoustics are not good, helps a lot. Thanks for asking.