Key Takeaways
- Understanding hearing loss aging seniors health is important for seniors and their caregivers.
- Loss of hearing often occurs slowly over time.
- Your provider will do a complete physical exam.
- There is no cure for age-related hearing loss.
- Age-related hearing loss most often gets worse slowly.
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What Are the Common Causes and Risk Factors?
Understanding hearing loss aging seniors health is important for seniors and their caregivers. tiny hair cells inside your inner ear help you hear. They pick up sound waves and change them into the nerve signals that your brain interprets as sound. Hearing loss occurs when the tiny hair cells are damaged or die. The hair cells do not regrow, so hearing loss caused by hair cell damage is permanent.
There is no known single cause of age-related hearing loss. Most commonly, it is caused by changes in the inner ear that occur as you grow older. Your genes and loud noise (for example from loud concerts or music headphones) may play a role.
The following factors contribute to age-related hearing loss:
- Family history (age-related hearing loss tends to run in families)
- Repeated exposure to loud noises
- Smoking (smokers are more likely to have such hearing loss than nonsmokers)
-
Certain medical conditions, such as
diabetes
- Certain medicines, such as chemotherapy medicines for cancer
What Are the Symptoms and Warning Signs?
Loss of hearing often occurs slowly over time.
Symptoms include:
- Difficulty hearing people around you
- Having to raise the volume on the TV
- Frequently asking people to repeat themselves
- Frustration at not being able to hear
- Certain sounds seeming overly loud
- Problems hearing in noisy areas
- Problems telling apart certain sounds, such as “s” or “th”
- More difficulty understanding people with higher-pitched voices
- Ringing in the ears
Talk to your health care provider if you have any of these symptoms.
📖 What Are Exams and Tests?
What Are Exams and Tests?
Your provider will do a complete physical exam. This helps find if a medical problem is causing your hearing loss. Your provider will use an instrument called an otoscope to look in your ears. Sometimes, ear wax can block the ear canals and cause hearing loss.
You may be sent to an ear, nose, and throat doctor and a hearing specialist (audiologist).
Hearing tests
can help determine the extent and type of hearing loss.
📖 How Is It Treated?
How Is It Treated?
There is no cure for age-related hearing loss. Treatment is focused on
improving your everyday function
. The following may be helpful:
-
Hearing aids
- Telephone amplifiers and other assistive devices
- Sign language (for those with severe hearing loss)
-
Speech reading
(lip reading and using visual cues to aid communication)
-
A
cochlear implant
may be recommended for people with severe hearing loss. Surgery is done to place the implant. The implant allows the person to detect sounds again and with practice can allow the person to understand speech, but it does not restore normal hearing.
📖 What Is Outlook (Prognosis)?
What Is Outlook (Prognosis)?
Age-related hearing loss most often gets worse slowly. The hearing loss cannot be reversed and may lead to deafness.
Hearing loss may cause you to avoid leaving home. Seek help from your provider and family and friends to avoid becoming isolated. Hearing loss can be
managed
so that you can continue to live a full and active life.
📖 What Are Possible Complications?
📖 When to Contact a Medical Professional?
When to Contact a Medical Professional?
Hearing loss should be checked as soon as possible. This helps check for causes such as too much wax in the ear or side effects of medicines. Your provider should have you get a hearing test.
Contact your provider right away if you have a sudden change in your hearing or hearing loss with other symptoms, such as:
- Headache
- Vision changes
-
Dizziness
Hearing loss – age related; Presbycusis
-
Ear anatomy
Emmett SD. Otolaryngology in the elderly. In: Flint PW, Francis HW, Haughey BH, et al, eds.
Cummings Otolaryngology: Head and Neck Surgery
. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 13.
Kerber KA, Baloh RW. Neuro-otology: diagnosis and management of neuro-otological disorders. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds.
Bradley and Daroff’s Neurology in Clinical Practice
. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 22.
Weinstein B. Disorders of hearing. In: Fillit HM, Rockwood K, Young J, eds.
Brocklehurst’s Textbook of Geriatric Medicine and Gerontology
. 8th ed. Philadelphia, PA: Elsevier; 2017:chap 96.
Updated by: Ashutosh Kacker, MD, FACS, Professor of Clinical Otolaryngology, Weill Cornell Medical College, and Attending Otolaryngologist, New York-Presbyterian Hospital, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
-
Hearing Disorders and Deafness
-
Older Adult Health
Frequently Asked Questions
Key Takeaways
What Are the Common Causes and Risk Factors?
What Are the Symptoms and Warning Signs?
Difficulty hearing people around you
Having to raise the volume on the TV
Frequently asking people to repeat themselves
Frustration at not being able to hear
Certain sounds seeming overly loud
Problems hearing in noisy areas
Problems telling apart certain sounds, such as “s” or “th”
More difficulty understanding people with higher-pitched voices
Ringing in the ears
Talk to your health care provider if you have any of these symptoms. 📖 What Are Exams and Tests?
What Are Exams and Tests?
How Is It Treated?
improving your everyday function
. The following may be helpful:
Hearing aids
Telephone amplifiers and other assistive devices
Sign language (for those with severe hearing loss)
Speech reading
(lip reading and using visual cues to aid communication)
A
cochlear implant
may be recommended for people with severe hearing loss.
About the Author: This article was researched and written by the SilverWell Hub editorial team. It was medically reviewed by Dr. Sarah Mitchell, MD, Geriatrics.
Sources: This article is adapted from MedlinePlus, a service of the National Library of Medicine.
Disclaimer: This information is for educational purposes only. See our full Medical Disclaimer.
Published: July 16, 2026 | Next review: January 2027
