Do I Need Hearing Aids? (Cleveland Clinic)

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What are the signs of hearing loss?
You may notice a number of early warning signs and changes in your behavior that may be related to hearing loss. You may begin to:

  • Complain that people are mumbling
  • Frequently ask people to repeat what they have said
  • Have increased difficulty understanding what people are saying in background
  • noise such as noisy rooms, social occasions, or family gatherings
  • Prefer the television or radio louder than other people
  • Have trouble understanding what is being said at the movies or theater, your house of worship, or other public gatherings
  • Have difficulty understanding conversations in a group
  • Become more impatient, irritable, frustrated, or withdrawn
  • Have difficulty understanding people when you cannot see their faces

Why can I hear people but not understand them?
A common type of hearing loss is one in which people have normal or nearly normal hearing in the low- and mid-pitched sounds, but have hearing loss in the high-pitched sounds. Some examples of low-pitched sounds in speech are vowel sounds like "o, ooh, ah, a, e," etc. Some examples of high-pitched sounds in speech are "s, f, th," etc. These high-pitched consonant sounds carry the meaning of words so they help us understand speech, but tend to be very soft in volume.

The low-pitched vowel sounds carry the volume of speech, but do not have much meaning. Therefore, vowel sounds help us hear speech, but do not help us understand what is said. In normal conversation, speech might sound loud enough but not clear enough if a hearing loss is present. This problem is worse in background noise, since background noise interferes with and covers up speech. This problem is often associated with sensorineural hearing loss, which results from damage in the inner ear and/or in the auditory nerve endings.

What can I expect from my hearing aids?
Unlike eyeglasses, hearing aids cannot provide complete correction for the impairment. No hearing aid will restore your hearing to normal or provide a perfect substitute for normal hearing. The benefits derived from wearing hearing aids, even the most technologically advanced, will vary from person to person. The greatest benefit will be experienced with consistent use of hearing aids.

What hearing aids can do:

  • Hearing aids make sounds louder (amplify sounds) so that you can hear them. The goal is to make soft sounds audible, the sound of normal conversation comfortable, and loud sounds loud, but not too loud.
  • Hearing aids improve a person's ability to understand speech (such as conversations) by amplifying the sounds (such as high-pitched consonants) not audible to the individual. The extent a hearing aid can improve speech understanding will depend on the degree of the person's hearing loss and how much noise is present in the listening situations.
  • Some hearing aids can amplify high-pitched consonant sounds more than low-pitched vowel sounds to help you hear better in noisy situations. There are no hearing aids, however, that can completely eliminate troublesome background noise.
  • Some advanced hearing aid systems use multiple microphone technology to further enhance communication in noisy environments.

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Last Updated: 7/6/2010

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