Add a pronunciation dictionary to Narrator
This is a feature that is found in all the other major screen readers. Narrator should include a pronunciation dictionary to customize how the speech synthesizer pronounces certain words if the default pronunciation is incorrect. This is usually done by entering the correct spelling of the word followed by a misspelled version that is pronounced correctly by the TTS voice. Whenever Narrator encounters the correct spelling of the word, it will speak it using the custom pronunciation rule.
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The Microsoft Disability Answer Desk team.