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Why Hearing Gets Worse with Age and How to Protect It

Understand the causes of age-related hearing loss and practical steps to maintain your hearing health.

Do you find yourself turning up the volume on the TV or asking others to repeat themselves? Age-related hearing loss, also known as presbycusis, is a common issue that affects nearly one-third of adults aged 65–74 and almost half of those over 75, according to the National Institute on Deafness and Other Communication Disorders (NIDCD).

While hearing loss may seem like an inevitable part of aging, understanding its causes and taking proactive steps can help you maintain your hearing health and overall well-being.

How Hearing Changes with Age

Age-related hearing loss develops gradually and typically affects both ears. Here are the most common symptoms to watch for:

1. Trouble Hearing Higher-Pitched Sounds

High frequencies are often the first to be affected, making it difficult to hear voices of children or others with high-pitched tones. Certain consonants like s, f, and h, which are critical for distinguishing words, may also become harder to detect.

2. Difficulty Understanding Speech in Noisy Environments

Background noise, such as at restaurants or sporting events, can make conversations harder to follow. This isn’t just about hearing volume; it’s about clarity.

3. Ringing or Buzzing in the Ears

Tinnitus, characterized by sounds like ringing, buzzing, or hissing, is a common symptom of hearing loss. It can range from occasional to constant and may interfere with your ability to focus.

4. Certain Sounds Seem Overwhelmingly Loud

This condition, known as recruitment, occurs when some frequencies are perceived as startlingly loud due to uneven hearing loss in the cochlea.

The Broader Impact of Hearing Loss

Hearing is vital not just for communication but also for overall health. Studies link untreated hearing loss to:

  • Cognitive decline and an increased risk of dementia.

  • Balance issues and a higher likelihood of falls.

  • Social isolation and its accompanying risks of depression.

  • Reduced physical function, which can limit independence.

How to Maintain Healthy Hearing

The good news is that you can take proactive steps to safeguard your hearing as you age:

1. Protect Your Ears from Loud Noises

  • Use earplugs or earmuffs in noisy environments such as concerts, sporting events, or while using lawn equipment.

  • Take breaks from loud sounds to give your ears time to recover.

2. Monitor Noise Levels

Download a free sound level meter app on your smartphone to measure your environment’s noise levels. Prolonged exposure to sounds above 85 decibels (dB) can damage your hearing.

3. Practice Healthy Lifestyle Habits

A balanced diet, regular exercise, and avoiding smoking can reduce your risk of hearing loss. Conditions like heart disease and diabetes, which are linked to hearing damage, are mitigated by healthy living.

4. Schedule Regular Hearing Tests

Hearing loss can start as early as your 50s, even if noticeable symptoms appear much later. Discuss hearing tests with your doctor to establish a baseline and monitor changes over time.

Why Addressing Hearing Loss Matters

Treating hearing loss doesn’t just improve your ability to hear; it enhances your overall quality of life. From reducing cognitive risks to fostering better social interactions, maintaining your hearing health is an investment in your future well-being.

Take steps today to protect your hearing. Share this article with a loved one or subscribe to our newsletter for more health tips.