Selena Gomez’s Vulnerable Health Update: The Truth Behind Her Changing Voice and New Diagnosis

Mian Hamid December 18, 2025
Selena Gomez reveals why her voice is changing and addresses her melasma diagnosis. Learn how she manages Lupus, Bipolar Disorder, and health in her new life.
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In a recent and vulnerable update, Selena Gomez addressed ongoing public speculation regarding changes in her voice and physical appearance. She revealed that her throat occasionally "swells inside" due to complications from Systemic Lupus Erythematosus (SLE), an autoimmune condition she has battled for a decade.

Beyond the immediate physical symptoms, Selena has also been candid about the long-term impact on her fertility. She confirmed that medical risks associated with her condition mean she cannot safely carry her own children, a reality she has had to navigate with deep emotional transparency.

"I have a lot of medical issues that would put my life and the baby’s in jeopardy," Selena shared in a poignant interview with Vanity Fair. She described the process of "grieving" this future while remaining hopeful about alternative paths like adoption and surrogacy.

During a recent podcast appearance, she also highlighted the daily physical toll, stating, "I have arthritis in my fingers, and that's due to my lupus." She noted that even simple tasks, like opening a water bottle, were once incredibly painful before she found the right medication.

Selena’s medical history is a testament to her strength, beginning with her public Lupus diagnosis in 2015, which required aggressive chemotherapy. In 2017, the condition led to organ failure, resulting in a life-saving kidney transplant donated by her friend, Francia Raisa.

In 2020, she added a new layer to her advocacy by announcing a diagnosis of Bipolar Disorder. By sharing her experiences with anxiety and depression, she has become a leading voice for mental health awareness, bridging the gap between physical and psychological wellness.

Standard treatment for Selena includes immunosuppressants like Rituxan and mood stabilizers to manage her Bipolar Disorder. While there is no cure for Lupus, 80% to 90% of patients can expect a normal lifespan with consistent medical monitoring and lifestyle adjustments.

However, these treatments come with significant challenges, including severe weight fluctuations and a heightened risk of infection. Selena often uses Dialectical Behavior Therapy (DBT) as an essential tool to manage the emotional "flares" that accompany chronic illness.

Selena’s health has frequently intersected with her professional life, leading her to cancel major tours in the past to prioritize her recovery. She often credits her mother, Mandy Teefey, and her husband, Benny Blanco, for providing the emotional foundation needed to sustain her high-profile career.

Her health journey even transformed her business, Rare Beauty, which features inclusive packaging designed for those with dexterity issues. By turning her personal struggle with arthritis into a design solution, she has empowered millions of fans facing similar physical limitations.

If you or a loved one are managing similar conditions, experts recommend a "sun-smart" lifestyle, as UV rays are a common trigger for Lupus flares. Always wear high-SPF sunscreen and protective clothing when outdoors to prevent skin inflammation and fatigue.

Incorporating an anti-inflammatory diet rich in Omega-3s and leafy greens can also support your immune system from the inside out. Prioritizing 8 to 12 hours of restorative sleep and practicing mindfulness can help keep both your body and mind in a state of remission.

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