Hearing loss and hearing aids: where to start

Signs of hearing loss

The NIA notes that hearing loss is one of the most common conditions affecting older adults. It often comes on slowly, so other people may notice before you do. Signs the NHS lists include:

• Finding it hard to follow conversations, especially in noisy places.
• Asking people to repeat themselves.
• Turning the TV or radio up louder than others like it.
• Feeling tired after conversations from the effort of listening.

Getting your hearing tested

If you think your hearing is changing, see your GP or doctor. They can check for simple causes such as earwax or an infection and refer you for a hearing test if needed. Do not try to remove earwax with cotton buds. Getting help early matters: hearing loss can make people withdraw from conversations and social life.

Types of hearing aid

• Behind-the-ear: sits behind the ear with a small tube or wire into the ear. Easy to handle and suits many types of hearing loss.
• In-the-ear and in-the-canal: fit partly or fully inside the ear. Less visible, but smaller and fiddlier to handle.
• Many hearing aids can now connect to phones and TVs by Bluetooth.

For severe hearing loss where hearing aids do not help enough, the NHS and NIH (NIDCD) describe other options, such as cochlear implants, that a specialist can discuss.

Over-the-counter hearing aids (US)

In the US, over-the-counter (OTC) hearing aids can be bought without a prescription or a hearing exam. The NIDCD explains they are intended for adults with perceived mild to moderate hearing loss. If your hearing loss seems more than mild to moderate, or came on suddenly, see a doctor first.

Getting used to hearing aids

• Expect a few weeks of adjustment; everyday sounds can seem loud at first.
• Start in quiet places and wear them a little longer each day.
• Go back for adjustments if something does not feel right.