What is hearing loss?

Hearing loss, or hearing impairment, happens when there is a problem with one or more parts of the ear or ears, the nerves coming from the ears, or the part of the brain that controls hearing. "Impairment" means something is not working correctly or as well as it should. Hearing, just like the other four senses, plays an important role in our wellbeing. When hearing fades slowly, it can have a major impact on your day-to-day life.

Different degrees of hearing loss

Hearing loss can occur in many forms at varying degrees of severity. Your level of hearing loss generally falls into one of four categories: mild, moderate, severe, or profound. You may also have different levels of hearing loss in each ear. See the below table to learn more about the different degrees of hearing: 

Mild Hearing Loss

  • May only notice increased difficulty hearing in situations of background noise.
  • Difficulty hearing softly spoken people or children, or soft sounds in the environment such as your footsteps or your clothes rustling.  
  • Can hear loud vowel sounds but may miss soft consonant sounds.

Learn more about mild hearing loss.

Moderate Hearing Loss

  • Significant difficulty hearing softly spoken people, missing a range of environmental sounds such as the telephone ringing.
  • Can miss consonant sounds, and vowel sounds are more difficult to hear. As a result, speech sounds unclear or mumbled. 
  • Friends and family may be commenting on your hearing.

Learn more about moderate hearing loss.

Severe Hearing Loss

  • Significant difficulty hearing speech at any level, and nearly all environmental sounds are inaudible.
  • May be consciously or subconsciously relying on lip-reading to help with communication.
  • Hearing aids are necessary to understand speech, but you are still likely to have difficulty in background noise.

Learn more about severe hearing loss.

Profound Hearing Loss

  • Unable to hear very loud sounds like airplane engines, traffic or fire alarms.
  • Even with hearing aids, speech may be difficult to understand if the speaker is not facing you and speaking clearly in a quiet environment.

Learn more about profound hearing loss.

What are the signs of hearing loss?

Not all signs of hearing loss are obvious, especially as the brain tends to compensate by relying on other senses. But there are some common indicators you may notice in yourself or others, including:

Difficulty keeping up with conversation

  • Frequently asking people to repeat themselves
  • Straining to hear others in situations with background noise
  • Trouble hearing high-pitched noises or voices i.e. children’s voices
  • Feeling fatigued after conversation due to the effort required
  • Lip reading to catch what people are saying.

Changes in sound perception

  • Buzzing or ringing in the ears, also known as tinnitus
  • Trouble differentiating between similar words and sounds
  • Sounds are muffled, or you think people are mumbling.

Lifestyle indications

  • Using the television or radio at a high volume
  • Missing the doorbell or telephone ringing
  • Avoiding social situations because you feel left out
  • Others have commented that you may have hearing problems.

The importance of a hearing check

While it’s important to get as much information as possible, a free hearing check is a quick way to determine if hearing loss is present. The free hearing check is available to everyone aged 18 years and over. We recommend that everyone over the age of 50 has an annual hearing check. It takes 20 minutes and it can be conducted at any one of our clinics.

What are the types of hearing loss?

There are three main types of hearing loss: sensorineural hearing loss, conductive hearing loss, and mixed hearing loss.

Sensorineural hearing loss is the most common form, occurring when the inner ear or the nerve connecting the ear to the brain is damaged (most often brought on by ageing or loud noise exposure). It is usually permanent and can range from mild to profound.

Conductive hearing loss occurs when sound is blocked and unable to travel through the outer and middle ear to reach the inner ear. This type of hearing loss tends to be more temporary, as most blockages (e.g., ear infections and wax buildup) are easily treated.

When hearing is affected by factors relating to both sensorineural and conductive hearing loss, this is known as mixed hearing loss.

What are the causes of hearing loss?

Hearing loss can arise at any age and has various causes. Although it’s most common for those 60+, research shows that self-reported hearing loss in NZ has increased from 7.4% in 2018 to 8.2% in 2022 among the working-age population.

Aside from age-related factors, other causes of hearing loss include:

Related hearing diseases and issues

Hearing loss can often be accompanied by other concerns that can significantly impact a person’s quality of life. Here are some to be aware of:

  • Tinnitus – A persistent ringing or buzzing in the ears with no external sound source.
  • Mental health – Hearing loss is linked to higher rates of depression, particularly if left untreated.
  • Cognitive decline – Research has found that people with age-related hearing loss are at greater risk of developing dementia.
  • Fatigue – Straining to hear can be exhausting, leading to physical and mental fatigue.
  • Vertigo and dizziness – Hearing loss can also affect balance, particularly when related to Ménière's disease.
A man and a woman at a Bay Audiology clinic

We're here to help you to better hearing

If you are worried about your hearing, or that of a loved one, book an appointment with one of our specialists today to check your hearing health. At Bay Audiology, we are here to help determine which type of hearing loss you have, how it was caused and what can be done to help.

What treatment will I need for hearing loss?

Any treatment you may require for hearing loss will depend on the cause and the severity.

Hearing aids are one of the most effective treatments for permanent hearing loss and managing related symptoms such as tinnitus. For temporary hearing loss, Bay Audiology also provides services such as ear wax removal and custom-made ear plugs.

If you’re concerned about your hearing, book a free hearing check today.

Can hearing loss be prevented?

It is possible to prevent hearing loss, mainly by reducing exposure to loud noises at every opportunity. Some key prevention tips include:

  • Turning the volume of headphones down to a safe listening level <85 decibels
  • Wearing hearing protection when working with noisy equipment (e.g. lawn mowers, power tools)
  • Reducing the time you’re exposed to loud noise and giving your ears frequent breaks
  • Wearing earplugs to concerts, sporting matches, or any other loud events.

If you’re often in the pool, swimming earplugs can also be helpful in preventing infection, which can lead to hearing loss.

Get in touch if you need support Send us a message

Hearing loss FAQs

How does hearing loss affect everyday life?

Hearing loss greatly impacts a person’s ability to partake in conversation, which can lead to social isolation, loneliness, and frustration. Without intervention, it can create barriers to education, employment, and emotional connection. Hearing loss has also been linked to cognitive decline and fatigue. However, many studies have shown that through treatment, the use of hearing aids, and social support, quality of life is significantly improved.

How many stages of hearing loss are there?

Hearing loss is categorised into four main stages based on severity: mild, moderate, severe and profound. Stages are determined with a diagnostic hearing test, which allows an audiologist to prescribe accurate treatment.

Does mild hearing loss get worse?

Mild hearing loss can potentially worsen over time. This largely depends on the root cause and other contributing factors, such as whether it’s age-related or brought on by external influences. With regular monitoring, an audiologist can help track changes to provide the best treatment and outcomes. If you have mild hearing loss, early intervention can often help maintain hearing levels. Typically, the longer hearing loss is left untreated, the higher the health risks.

How fast can hearing loss progress?

In general, hearing loss develops slowly. This is particularly true for age-related hearing loss, which occurs gradually. However, other underlying causes can result in more rapid changes, such as exposure to loud sounds or chronic illnesses (e.g., diabetes). If you experience sudden hearing loss, seek help from a hearing expert as soon as possible.

Which type of hearing aid is best for me?

The right hearing aid will depend on your level of hearing loss, budget, and lifestyle. At Bay Audiology, our specialist audiologists will examine your hearing, discuss your preferred look and feel, and consider your daily activities for a bespoke approach to your hearing needs. 

What if I only lose hearing in one ear?

If you suddenly experience hearing loss in one ear, speak to a hearing expert as soon as possible. It can be common for one ear to be affected when the hearing loss is caused by ear infection, injury, ear wax buildup, or conditions such as Ménière's disease. If the cause of hearing loss is permanent, a hearing aid can be fitted for one ear.

What can cause hearing loss in both ears?

Hearing loss in both ears can be caused by a range of factors, including ageing (presbycusis), exposure to loud noise, recessive genetic conditions or syndromes, injury, infection, a buildup of earwax, and more.

At what stage of hearing loss do you need a hearing aid?

Most people find the use of a hearing aid beneficial when hearing loss reaches a moderate stage and beyond. But, suitability largely depends on the individual's circumstances and hearing challenges. If you’re experiencing any level of hearing difficulty, an evaluation from our audiologists can help you decide whether a hearing aid is right for you. 

Book a free hearing test

When should I seek help for hearing loss?

It’s never too early to seek help for your hearing. Whether you’ve noticed some symptoms or haven’t had a hearing check in a while, the friendly team at your local Bay Audiology can assist with every ear concern.

Book an appointment today or visit your nearest store to speak to one of our audiologists. 

Suspect someone may have hearing loss?

It can be a challenge when someone close to you is experiencing hearing difficulties. It is not easy to find the right time to start a conversation about hearing loss. Reactions can be mixed, because hearing loss can be a gradual process, which people learn to accommodate and find it difficult to accept. Denial and reluctance to discuss their hearing is common. If you think a friend or family member might be experiencing hearing loss, you are doing the right thing by looking into it. Hearing problems left untreated can negatively impact people’s lives over time. 

Starting the conversation: what we can do

Starting a difficult conversation with loved ones is never easy. Bay Audiology is here to help you prepare to open communication channels with a loved one. It’s not always easy for people to accept that they have problems with their hearing. Stress and denial are common. The most important thing is that you make sure they know you’re only having the conversation with them because you care and you want to help.

Get in touch if you need support.

Sources

●     “Association between hearing loss and cognitive decline in the elderly: A systematic review with meta-analysis study.” NCBI, 9 November 2023, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635537/. Accessed 3 October 2024.

●     Attari, Alireza. “Economic effects of hearing loss - 2023 update.” NZIER, https://www.nzier.org.nz/hubfs/Public%20Publications/Client%20reports/Economics%20of%20hearing%20loss%202023%20update.pdf. Accessed 3 October 2024.

●     Barbour, Dennis L. “Hidden Hearing Loss: Mixed Effects of Compensatory Plasticity.” Science Direct, 2020, https://www.sciencedirect.com/science/article/pii/S0960982220314238. Accessed 3 October 2024.

●     Chern, Alexander, and Justin S. Golub. “Age-related hearing loss and dementia - PMC.” NCBI, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7749722/. Accessed 3 October 2024.

●     “Hearing impairment and daily-life fatigue: a qualitative study.” NCBI, 28 April 2019, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6567543/. Accessed 3 October 2024.

●     “The Hidden Risks of Hearing Loss.” Johns Hopkins Medicine, https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-hidden-risks-of-hearing-loss. Accessed 3 October 2024.

●     Li, Chuan. “Hearing Impairment Associated With Depression in US Adults, National Health and Nutrition Examination Survey 2005–2010.” NCBI, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4102382/. Accessed 3 October 2024.

●     Masoud, Radman. “Prevalence of hearing loss among patients with type 2 diabetes.” NCBI, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9321482/. Accessed 3 October 2024.

●     “Quick Statistics About Hearing, Balance, & Dizziness.” NIDCD, 20 September 2024, https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing. Accessed 3 October 2024.

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