The word "perham" is spelled as /ˈpɜːrəm/, with the stress on the first syllable. The /p/ sound is pronounced with a puff of air, and the /r/ sound is rolled or trilled in some accents. The vowel sound in the first syllable is the open-mid front unrounded vowel /ɜː/, which is similar to the vowel sound in "bird" or "fern." The second syllable has the schwa /ə/ sound, which is short and unstressed. Overall, the spelling of "perham" follows English phonetic rules and the emphasis is placed on the first syllable.