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Latin Language · Alphabet. Phonetics. Reading Vowels and Consonants

Pronunciation of consonants in Latin

In Latin, most consonants are read the same way they are written, but a number of letters have specific pronunciation features. Students most often make mistakes when reading the letters C and S, which can change their sound depending on their position in a word, and also forget about the constant palatalization (softness) of the letter L.

Letter LIn medical Latin, it is always pronounced softly, much like in French or German.
Double pronunciationThe letters C and S have a dual pronunciation and can sound voiceless or voiced depending on their position.
Rare letter KUsed almost exclusively in words of Greek origin to preserve the [k] sound.
4 min readFor medical studentsUpdated 09/24/2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Dual pronunciation: letters C and S

The letter C is one of the most important for the correct pronunciation of medical terms because it has a dual pronunciation: it can sound like a hard [k] or like [ts].

The letter is read as [k] in the following cases:

  • Before the vowels a, o, u. For example, caput [kaput] — head (or head of a bone/organ).
  • Before any other consonant sounds: cranium [cranium] — cranium, clavicula [clavicula] — clavicle, crista [crista] — crest.
  • At the end of a word.

The letter is read as [ts] in only one position — before the sounds [e] and [i]. In writing, this is expressed by the vowels e, i, y, as well as the digraphs ae and oe. Examples of this pronunciation: cervicalis [cervicalis] — cervical, incisura [incisura] — notch, caecus [caecus] — blind, coccygeus [coccygeus] — coccygeal, coeliacus [coeliacus] — celiac.

The letter S also has two pronunciation options:

  1. In most cases, it is pronounced as the voiceless [s]. This also includes the doubled ss. Examples: sulcus [sulcus] — sulcus, os sacrum [os sacrum] — sacrum (sacral bone), dorsum [dorsum] — back or dorsum, fossa [fossa] — fossa, processus [processus] — process.
  2. The letter becomes voiced and is read as [z] if it is located strictly between two vowels (vesica [vesica] — bladder). In addition, in words of Greek origin, it sounds like [z] when positioned between a vowel and the consonants m or n (chiasma [chiasma] — chiasm, platysma [platysma] — platysma).

Features of reading letters H, K, and L

The letter H represents a specific breathy sound. It is read like the Ukrainian [h] or German h. Examples: homo [homo] — human, hiatus [hiatus] — hiatus or cleft, humerus [humerus] — humerus, haema [haema] — blood.

The letter K is very rare in medical Latin. It is used almost exclusively in terms of Greek origin when there is a need to preserve the hard [k] sound before the sounds [e] or [i] (since a regular C in such a position would be read as [ts]). Examples: kyphosis [kyphosis] — kyphosis, kinetocytus [kinetocytus] — kinetocyte (motile cell). The only important exception is the word Kalium [kalium] — potassium, which is of Arabic origin.

As for the letter L, the main rule is that it is always read softly, regardless of the following vowels or consonants. Examples: labium [labium] — lip, lumbalis [lumbalis] — lumbar, pelvicus [pelvicus] — pelvic.

Test your knowledge on this topicTasks from the "Latin Language" course bank — instant answers and explanations.

Specific consonants: X and Z

The letter X is interesting because it represents two sounds at once — [ks]. This rule applies in all positions. For example: radix [radix] — root, extremitas [extremitas] — extremity.

The letter Z is found only in terms of Greek origin. In Ancient Greek, it was pronounced as [dz], but in modern Latin, it is read simply as [z]. Characteristic examples: zygomaticus [zygomaticus] — zygomatic, trapezius [trapezius] — trapezoid.

For convenience, you can use a small comparative sound chart:

  • The letters c and k represent the [k] sound;
  • The letter combination qu represents the [kw] sounds;
  • The letter x represents the [ks] sounds.

Briefly: answers to topical questions

How are the digraphs ph, th, and rh read in medical Latin?

  • The digraph ph in words of Greek origin represents the [f] sound.

How is the letter combination ti read before vowels?

  • Combination of ti before vowels — generally pronounced as [tsi] (for example, in the word rotatio — rotation).
  • Exception — if ti stands before vowels in the combinations sti, xti, tti, it is read as [ti] (for example, in the word ostium — opening).

How is the letter combination ngu read before vowels and consonants?

  • The combination ngu before vowels — is read as [ngw] (for example, in the word lingua — tongue).
  • The combination ngu before consonants — is read as [ngu] (for example, in the word lingula — lingula).

Class and exam questions

In which cases is the letter S pronounced voiced, as [z]?

The letter S is read as [z] in two cases: first, when it stands between two vowels (incisura). Second, in terms of Greek origin, if it is located between a vowel and the consonants m or n (chiasma).

How to correctly pronounce the letter L before consonants?

The letter L in Latin is always read softly as [l'], in any position, including before consonants. For example, the word sulcus (sulcus) should be pronounced correctly as [sulcus].

Before which letters is C read as [ts]?

The letter C is read as [ts] only before the sounds [e] and [i]. In writing, these sounds are represented by the vowels e, i, y, as well as the digraphs ae and oe.

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What else to study on this topic

  • Vowel sounds and rules for reading digraphs (ae, oe).
  • Signs of words of Greek origin in the Latin language.
  • Rules for reading the qu letter combination and other vowel combinations.
  • Stress placement in polysyllabic Latin terms.

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