Hi! Sorry I'm late, but the answer is 'It shows that the speaker will live with a misery that will never leave him'. I know this because I just took a k12 quiz with this question, and this was the correct option.
The fact that Virginia Woolf was born in England in 1882--a time when women were not as free to pursue a career, to be independent, or even to have their own privacy at times--was one of the reasons why she wrote A Room of One's Own. It discusses feminist ideas and criticizes the traditional hierarchies and the male-dominant society in which she lived in. Her essay was a result of feeling oppressed by that society.
The effect of natural voice is that it changes the pitch of the voice.