Hearing loss is associated with depression, disability, social isolation, unmet medical needs and geriatric frailty. Most patients are aware of 10 years of hearing loss before hearing aids are used.  If you are having symptoms, let your physician know so that they can help you get the care you need.

When can hearing loss be suspected?

• Asking others to speak louder/ slower/ more clearly/ repeat what was said
• Feeling fatigued with prolonged listening
• Difficulty hearing in a group/noisy area/on the phone
• Difficulty hearing loud sounds or difficulty hearing speech in quiet places

What are warning symptoms that require additional evaluation?

• Asymmetric hearing loss
• Feeling of blockage of the ear canal
• History of excessive ear wax
• New onset of ringing
• New sensation of dizziness or vertigo
• Pain or discomfort in the ear
• Sudden hearing loss or acute worsening of chronic hearing loss

There are prescription and over-the-counter hearing aids.  Audiologists are the specialists who advise the choice of hearing aid type and style. Prescription hearing aids are an expensive option and may cost $1,000 to $6000 out of pocket.

Over the counter hearing aids include preset and self-fitting and assorted styles.  There are in-the-ear aids and behind-the-ear styles. The behind-the ear style often has a better sound quality and filters background noise more effectively. There is also a self-fitting OTC device. 

I hope this helps.