Dr. Aussem examining a patient's ear during a hearing check
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Patient resource

Understanding hearing loss

Hearing loss is one of the most common health conditions in adults, and it tends to come on so gradually that many people don’t notice until it has been years. This page covers what to watch for, the three main types, and why a hearing evaluation is the clearest first step.

CommonEspecially with age
GradualEasy to miss early on
TreatableOnce you know what it is
What to watch for

Signs you might notice

A practical self-check. Read through the situations below and note how many feel familiar.

  • VolumeYou turn the TV or radio up louder than others in the room prefer.
  • ConversationYou often ask people to repeat themselves, or fill in the gaps by guessing.
  • Background noiseRestaurants and group settings make it hard to follow the conversation.
  • TinnitusYou notice a ringing, buzzing, or hum that others around you don’t seem to hear.
  • ClarityVoices sound muffled, as though people around you are mumbling.
  • Phone & distanceCalls are harder to follow, and hearing from another room has become a challenge.

One of these on its own is not a diagnosis. A few together are a good reason to schedule a hearing evaluation.

The basics

Three types of hearing loss

Hearing loss is categorized by which part of the hearing system is involved. The type shapes the treatment plan.

Conductive

Sound is blocked before it reaches the inner ear, usually by something affecting the outer or middle ear.

Where it happens
Outer or middle ear
Often caused by
Earwax, fluid, or a mechanical blockage
Usually managed with
Sometimes medically treatable

Sensorineural

The inner ear or auditory nerve is affected. This is the most common type, and hearing aids are typically the right approach.

Where it happens
Inner ear or auditory nerve
Often caused by
Aging or noise exposure over time
Usually managed with
Hearing aids

Mixed

Elements of both conductive and sensorineural loss are present, requiring a plan that accounts for both.

Where it happens
More than one part of the ear
Often caused by
A combination of the two above
Usually managed with
A combined plan, matched to you
Why it matters

Hearing keeps you connected

Hearing is how you stay in the conversation, at the dinner table, on the phone, and out in the world. When loss goes unaddressed, following along takes more effort over time, and many people gradually pull back from the gatherings and calls they used to enjoy, often without fully realizing why.

Research, including work from Johns Hopkins, has documented links between untreated hearing loss and social isolation and cognitive changes with age. The encouraging part is that hearing loss responds well to treatment, and earlier action means staying more engaged in the moments that matter.

Based on published audiology and public health research on untreated hearing loss.

A group of older friends laughing together over a shared meal at the dinner table
Common questions

Questions about hearing loss

Is age-related hearing loss normal?

Very common, yes. It tends to develop gradually over years, which is why the early signs are easy to overlook. A hearing evaluation tells you where your hearing stands and what, if anything, to consider next.

Does hearing loss always mean hearing aids?

Not always. An evaluation first identifies the type and degree of any loss. Some causes, like earwax buildup or fluid, can be addressed directly. When hearing aids are the right step, Dr. Aussem demonstrates them in the office so you can hear the difference before making any decision.

How is hearing loss diagnosed?

With a hearing evaluation. It is painless, takes about an hour, and maps the softest sounds you can detect and how well you understand speech. Dr. Aussem walks you through the results in plain language and discusses the options with you.

Can I protect the hearing I still have?

Yes. Reducing exposure to loud noise and using hearing protection around loud equipment or music are the most effective steps. If you are already noticing changes, a hearing evaluation is the right first step, and no referral is needed to schedule one.

Visit the office

Schedule an appointment at our Glendale office.

Call or send a message and we’ll help you schedule a hearing evaluation at our Glendale office. No pressure and no sales tactics, just a clear next step.

Address
7040 N. Port Washington Rd., Suite 401
Glendale, WI 53217
Hours
Mon–Thu 9:00–4:30 · Fri 9:00–12:00