First Time User? Enroll now.
*Vaccine availability and appointments* | Additional COVID-19 Resources | Testing
Please be aware that mask-wearing is required at all UNC Health facilities.
Home > Health Library > Age-Related Hearing Loss
Age-related hearing loss (presbycusis) is a progressive loss of the ability to hear that happens as people get older. It affects both ears. It starts with problems hearing high-pitched sounds. Over time, the ability to hear lower-pitched sounds may be affected as well. This kind of hearing loss affects most older adults to some degree.
The most frequent cause of age-related hearing loss is the natural breakdown of hair cells in the inner ear. Sound reaches the inner ear, but the breakdown of hair cells prevents proper hearing. This is known as sensorineural hearing loss.
Age-related hearing loss can also be caused by age-related changes that may affect the eardrum or the bones of the middle ear, which affects how well sound can move into the inner ear. Long-term medical conditions, such as high blood pressure, heart disease, or diabetes, or other problems with blood movement (circulation) may also contribute to age-related hearing loss.
Age-related hearing loss usually affects both ears and may range from mild to severe. It may affect your hearing in the following ways:
If you have age-related hearing loss, you may not know it, because older people usually lose their hearing very slowly. Your family members or friends may be the first to realize that you cannot hear well. Without knowing it, you may make small changes over time—turning up the TV volume, standing closer to a person who is speaking—that allow you to adapt to hearing loss. At some point, the loss may become so severe that these changes no longer work.
Your doctor will do a physical exam and ask about your symptoms and past health. Your doctor may look in your ears with a lighted device. Hearing tests may be done to check if you have hearing loss and how severe it is. You may be referred to an audiologist for the tests.
There is no known way to reverse age-related hearing loss. But if you have age-related hearing loss, there are devices that can help you hear and communicate more easily. These include hearing aids, telephone amplifiers, pagers, smart phones, and tablets.
It may be helpful to ask your family and friends to make adjustments when talking with you, such as speaking clearly and facing you so that you can better see their facial expressions and gestures.
Avoid loud noises or wear hearing protection around them. Wear your hearing aids as directed. Telephone amplifiers, close captioning on videos and TV, email, and text messaging can help. Speechreading may also help. With this method, you pay attention to people's gestures, expressions, posture, and tone of voice to help you understand them.
Current as of:
May 4, 2022
Author: Healthwise StaffMedical Review: William H. Blahd Jr. MD, FACEP - Emergency MedicineKathleen Romito MD - Family MedicineCharles M. Myer III MD - Otolaryngology
Current as of: May 4, 2022
Author: Healthwise Staff
Medical Review:William H. Blahd Jr. MD, FACEP - Emergency Medicine & Kathleen Romito MD - Family Medicine & Charles M. Myer III MD - Otolaryngology
To learn more about Healthwise, visit Healthwise.org.
© 1995-2022 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
Our interactive Decision Points guide you through making key health decisions by combining medical information with your personal information.
You'll find Decision Points to help you answer questions about:
Get started learning more about your health!
Our Interactive Tools can help you make smart decisions for a healthier life. You'll find personal calculators and tools for health and fitness, lifestyle checkups, and pregnancy.
Feeling under the weather?
Use our interactive symptom checker to evaluate your symptoms and determine appropriate action or treatment.