Aai Speech & Hearing · Hearing Care Education

Hearing Loss: Causes, Types, Symptoms & Treatment Options

Learn about hearing loss, common signs, hearing tests, hearing-aid options and when professional hearing-care support may be helpful.

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Understanding hearing

What Is Hearing Loss?

Hearing can change in different ways

Hearing loss means a reduced ability to hear sounds clearly or understand speech. It can affect one ear or both ears, certain frequencies, or particular listening environments.

These experiences alone do not establish a diagnosis.

ImportantThis page is educational. A hearing concern should be assessed appropriately.
Possible signs

Common Signs of Hearing Loss

These signs do not prove hearing loss.

01

Asking people to repeat

Frequently asking others to repeat themselves.

02

Higher volume

Increasing television or phone volume.

03

Groups are difficult

Difficulty following speech in groups.

04

Noisy places

Difficulty understanding speech in noise.

05

Speech sounds unclear

People may sound muffled or as if they are mumbling.

06

Telephone difficulty

Difficulty understanding speech on the telephone.

07

Missed sounds

Missing doorbells, alarms or other sounds.

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Types

Types of Hearing Loss

01

Conductive Hearing Loss

Sound transmission through the outer or middle ear is affected.

02

Sensorineural Hearing Loss

Involves the inner ear or auditory pathways.

03

Mixed Hearing Loss

Has both conductive and sensorineural components.

The type should be determined through an appropriate hearing evaluation.
Hearing levels

Degree of Hearing Loss

Classification should be based on an appropriate hearing evaluation/audiogram.

MildSome speech sounds may be difficult.
ModerateSpeech may be harder to follow.
Moderately SevereGreater conversational difficulty.
SevereSignificant hearing difficulty.
ProfoundVery substantial hearing difficulty.
Possible contributors

Common Causes of Hearing Loss

Age-related changes

Hearing may change gradually with age.

Loud-noise exposure

Long-term or significant noise exposure can affect hearing.

Ear infections

Some infections can affect hearing.

Ear-related conditions

Different ear conditions can contribute.

Certain medications

Some medicines can affect hearing.

Genetic factors

Some hearing difficulties can have genetic contributors.

Head/ear injury

Injury can sometimes affect hearing.

Other medical causes

Other factors may contribute and require evaluation.

Children

Hearing Loss in Children

Early attention can be important

Hearing concerns in children may require prompt professional assessment.

  • Delayed speech/language development
  • Difficulty responding to sounds
  • Difficulty following spoken instructions
  • Unclear speech where hearing may be a contributing factor
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Assessment

How Is Hearing Loss Evaluated?

Case history

Discussion of hearing concerns and relevant background.

Otoscopy

Ear examination where appropriate.

Pure-tone audiometry

Measures hearing sensitivity across frequencies.

Speech testing

May assess how speech is heard or understood.

Tympanometry

Where indicated, helps evaluate middle-ear function.

Other tests

Additional tests may be used when clinically required.

The exact tests depend on the individual; not every patient needs every test.
Understanding test results

What Is an Audiogram?

A visual map of hearing test results

An audiogram records hearing thresholds across different frequencies for each ear. It helps a hearing professional describe the degree and pattern of hearing loss and discuss appropriate next steps.

ImportantAn audiogram should be interpreted together with the clinical history and the appropriate hearing assessment.
Online screening

Online Hearing Test

A useful first step — not a diagnosis.An online hearing screening can provide preliminary information about hearing ability. It does not replace a professional hearing evaluation.
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Management

Hearing Loss Treatment & Support

Medical treatment

Where appropriate, treatment may address an underlying cause.

Hearing aids

May help many people with certain types and degrees of hearing loss.

Assistive technology

May help in specific communication situations.

Communication strategies

Practical approaches can support conversations.

Professional counselling

Guidance can help people understand options.

Follow-up care

May include review, adjustment and service.

Hearing aids are not suitable for every type of hearing loss.
Hearing aids

Hearing Aids for Hearing Loss

Behind-the-ear hearing aid fitted on an ear

Choosing is personal

Selection can depend on hearing requirements, lifestyle, degree/type of hearing loss, comfort, technology, budget and professional recommendation.

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Professional care

Why Professional Hearing Care Matters

Accurate assessment

Appropriate testing helps describe hearing.

Recommendation

Recommendations can be matched to requirements.

Fitting

Devices may require appropriate fitting.

Programming

Devices can be programmed where applicable.

Follow-up & adjustment

Follow-up can address comfort and listening experience.

After-sales support

Service can be an important part of hearing care.

When to seek help

When Should You Get Your Hearing Checked?

Consider professional evaluation when hearing difficulty persists.If you notice ongoing difficulty hearing or understanding speech, a hearing evaluation may be helpful.
Sudden or rapidly developing hearing changes deserve prompt medical attention.Do not rely on an online screening to evaluate a sudden change.
AI support

Have Questions About Your Hearing?

AI Hearing AssistantUse our AI Hearing Assistant for general information and guidance.
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AI-generated information is for general guidance and does not replace professional assessment or medical advice.
Questions

Frequently Asked Questions

What are the common signs of hearing loss?

Possible signs include asking people to repeat themselves, increasing volume, difficulty in groups/noise, telephone difficulty and missing everyday sounds. These do not diagnose hearing loss.

What are the different types of hearing loss?

Conductive, sensorineural and mixed hearing loss are the main educational categories.

Can hearing loss affect one ear only?

Yes. Hearing difficulty can affect one ear or both ears.

Can hearing loss be treated?

Management depends on the cause and type and may include medical treatment where appropriate, hearing aids, assistive technology and communication support.

When should I get a hearing test?

Persistent difficulty hearing or understanding speech is a reason to consider evaluation. Sudden or rapidly developing changes need prompt medical attention.

What is an audiogram?

An audiogram is a graphical representation of hearing test results across frequencies for each ear.

Can hearing aids help with hearing loss?

They may help many people with certain types and degrees of hearing loss. Suitability depends on individual assessment.

What is the difference between an online hearing test and a professional hearing evaluation?

An online screening provides preliminary information, while professional evaluation can include case history and appropriate tests selected for the individual.

Can children have hearing loss?

Yes. Children can have hearing difficulties for different reasons and concerns may warrant professional assessment.

Does hearing loss always get worse?

No single course applies to everyone. Changes depend on the underlying cause and individual circumstances.

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