Understand hearing loss. Find the right support.

Clear, practical information about hearing loss, communicating well, supporting someone you love, and what hearing aids can do for you.

Understanding hearing loss

Types, degrees, and why noise is hard

Hearing loss is common and can happen at any age. Knowing what kind you have, how much, and how it affects daily life is the first step toward good support.

Types of hearing loss

Outer or middle ear

Conductive

Sound can’t pass efficiently to the inner ear. Causes include earwax, fluid, infections, or a damaged eardrum.

Often treatable with medicine or minor procedures.

Inner ear or nerve

Sensorineural

Damage to the inner ear or hearing nerve, often from aging, noise exposure, or genetics. It is the most common permanent type.

Usually managed with hearing aids or implants.

Both

Mixed

A combination of conductive and sensorineural loss, so more than one part of the ear is affected.

Treatment depends on the main cause.

Degrees of hearing loss and their challenges

Mildabout 26–40 dB

Soft speech and whispers are hard to catch, especially in noise or across a room. Many people don’t notice at first.

Moderateabout 41–55 dB

Normal conversation is difficult without help, particularly in groups, restaurants, and when watching TV.

Moderately severeabout 56–70 dB

Most speech is missed without amplification. Phone calls and group talk become very tiring.

Severeabout 71–90 dB

Only loud speech is heard, if at all. Hearing aids or implants and visual cues become important.

Profoundabout 91 dB or more

Even very loud sounds are barely heard. Cochlear implants, lipreading, captions, or sign language are often used.

Ranges are approximate and vary slightly between organizations. dB = decibels of hearing level.

Why it’s so hard to hear in noise

  • Lost clarity, not just volume. Inner-ear damage blurs sound, so louder isn’t always clearer.
  • Missing high-pitched sounds. Consonants like s, f, and th are soft and high-pitched but carry most of the meaning in speech.
  • Noise masks speech. Background sound covers the same pitches as voices.
  • The brain works harder. It must separate one voice from many, which causes listening fatigue.
  • Distance and echo matter. Sound gets weaker and blurrier in large or hard-walled rooms.
  • It can happen with a normal-looking test. Some people struggle in noise even when quiet hearing tests look fine.
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Sudden hearing loss is urgent. If your hearing drops suddenly in one or both ears, seek medical care right away. Otherwise, a hearing test with an audiologist is the best way to find out what is going on.

Communication strategies

Making conversations easier

Simple habits, plus a little planning, can take a lot of the strain out of listening.

In conversation

  • Tell people what helps, such as facing you or speaking a bit slower
  • Watch faces and lips for extra cues
  • Ask people to rephrase, not just repeat
  • Check key details like times, names, and numbers
  • Take listening breaks, since it takes real effort

Set up your surroundings

  • Choose quieter spots, and seat yourself with your back to the noise
  • Sit where you can see everyone’s face in good light
  • Use captions on video and live captioning on your phone
  • Book quieter times at restaurants
  • Ask about assistive listening systems in theaters and meetings

Tips for family and friends

How to be a good communication partner

Hearing loss affects everyone in the conversation. These habits help.

Get ready to talk

  • Get their attention first, using their name or a gentle touch
  • Face them in good light and keep your hands away from your mouth
  • Turn off the TV or move to a quieter room

Speak clearly

  • Use a normal pace and natural tone; don’t shout
  • Pause between sentences
  • If they didn’t understand, say it differently

Include and support

  • In groups, take turns speaking and say who is talking
  • Avoid “never mind”; share the gist instead
  • Encourage hearing tests and join appointments if they’d like

Hearing aids

What they can and can’t do

Hearing aids are powerful tools, but they work best when you know what to expect.

What they can do
  • Make sounds audible and clearer, matched to your hearing test
  • Help you understand speech in many everyday settings
  • Reduce some background noise with directional microphones
  • Stream calls, TV, and music if they have Bluetooth
  • Lower listening effort and support tinnitus relief on some models
What they can’t do
  • Restore normal hearing or cure hearing loss
  • Remove all background noise, since busy places stay hardest
  • Work perfectly right away, because your brain needs weeks to adjust
  • Perform well without a good fit and follow-up adjustments
  • Replace hearing protection around loud noise

Types of hearing aids

BTE

Behind-the-ear

The body sits behind the ear and sends sound through a tube and earpiece.

Good for: mild to profound loss, durability, easy handling.

RIC / RIE

Receiver-in-canal

A small case behind the ear connects by thin wire to a speaker in the canal.

Good for: mild to severe loss and a discreet, natural sound.

ITE

In-the-ear

Custom-made to fill the outer part of the ear.

Good for: mild to severe loss and easier controls, though more visible.

ITC / CIC / IIC

In-the-canal

Smaller custom devices in or deep inside the canal.

Good for: mild to moderate loss and discretion. Tiny controls can be harder to handle.

OTC

Over-the-counter

Self-fitted devices sold without a prescription in some countries for mild to moderate loss. Rules vary.

Good for: lower cost, less personalized support.

Other

Beyond hearing aids

Bone-conduction devices, cochlear implants, and assistive listening devices can help when hearing aids aren’t enough.

Ask: your audiologist or ear specialist.

Before you buy

  • Start with a full hearing test from an audiologist or hearing professional
  • Think about where you listen most: home, restaurants, work, phone calls
  • Compare features such as directional microphones, Bluetooth, telecoil, and rechargeable batteries
  • Check comfort and whether the controls suit your vision and dexterity
  • Ask about the trial period, return policy, and warranty
  • Ask what follow-up care is included, and check insurance and funding options

FAQ

Common questions about hearing aids

Quick answers to what people ask most.

Will hearing aids give me normal hearing back?

No. They make sounds audible and clearer, but they don’t cure or reverse hearing loss. Most people find a big improvement in daily life.

How long does it take to get used to them?

Often several weeks. Wear them a little longer each day, start in quiet rooms, and bring notes to your follow-up visit.

Do I need two hearing aids?

If both ears have hearing loss, two are usually recommended because they help you tell where sounds come from and understand speech in noise. Your audiologist will advise you.

Will they work in noisy places?

They help, especially with directional microphones and noise reduction, but noisy places stay the hardest. Remote microphones and the communication tips above help too.

Why do my hearing aids whistle?

Whistling, or feedback, is often caused by a loose fit, earwax, or a blocked ear. A professional can adjust the fit or settings.

How long do they last?

Often around 3 to 7 years with good care and regular cleaning, depending on the model and use.

Can I wear them in water?

Most are not waterproof. Some are water-resistant, but it’s safest to remove them for showers and swimming and to check the manufacturer’s guidance.

Are they covered by insurance?

It varies a lot by plan and by country. Check your insurance and ask about funding programs and financing.