As the motor starts to spin you get the "Ah" sound. When the motor is at speed you get the "oooo" and as it slows you get the "ga".
With that in mind if your horn just gives the "ooooo" then it is spinning up too fast, so tighten the screw a click or two , pressing the ratchet against diaphragm a little harder slowing the motor a bit.
If you are just getting the AH-GA (sick goat) the ratchet is pressing too hard or, most likely, the motor is not spinning strong and you need to follow Tom's advice above.