March 31, 2023
5 min read
Written by
Danielle Contreras
Community News
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March 31, 2023
5 min read
Written by
Danielle Contreras
Community News
No items found.

Hearing Tests: Your Guide to Preparation and Expectations

Healthy hearing facilitates communication with others, and keeps us connected with the sounds of everyday life and the world around us. However, many factors can cause hearing loss, including genetics, age, noise exposure  and certain medical conditions. Hearing tests are an essential tool for identifying hearing problems early on, assessing the extent of hearing loss, and determining the best course of treatment. These tests are designed to evaluate a person's ability to hear sounds across different frequencies and volumes.

Regular hearing screenings are part of routine healthcare, yet often many individuals put them off either because they assume their hearing is fine or because they are unsure of what to expect. Whether you have perfect hearing or profound hearing loss, it is important to protect your auditory health and to be proactive. In this guide, we will cover the different types of hearing tests, how hearing test results are used to determine treatment, and what to expect during your hearing screening so you can be prepared physically and mentally.

Understanding Hearing Tests

The purpose of hearing tests is to assess the ability of an individual to perceive and interpret sounds. These tests are typically conducted by audiologists or hearing healthcare professionals using specialized equipment and techniques to measure hearing sensitivity, clarity, and comprehension. Hearing tests can identify hearing loss or impairment and help determine the cause of any hearing difficulties. They can also provide important information for developing treatment plans, such as hearing aids, cochlear implants, or other interventions. Regular hearing tests are particularly important for individuals who are at higher risk of hearing loss, such as those with a family history of hearing problems, individuals who work in noisy environments, or those who have experienced previous ear injuries or infections. Hearing tests promote early detection and intervention, establish a baseline for hearing levels, improve communication and quality of life, and prevent further hearing damage.

Routine hearing tests are crucial for a number of reasons. If you notice a change in your hearing or suspect hearing loss, the sooner you receive a screening, the sooner you can intervene and take action. Regular hearing tests can help to detect hearing loss in its early stages, allowing for prompt treatment and prevention of further deterioration. Untreated hearing loss not only leads to continued hearing health decline, but can affect socialization, mental health, and memory.  If untreated, hearing loss can lead to cognitive decline, as the brain struggles to process auditory information that is not being properly received. Regular hearing tests can help to detect hearing loss in its early stages, allowing for prompt treatment and prevention of further deterioration. Hearing tests and exams can also uncover other underlying health issues.

Hearing loss can sometimes be a symptom of another issue and may be caused by infection, ear wax impaction, or other health concerns like diabetes, cardiovascular disease, or dementia. By staying on top of your hearing health, you give yourself peace of mind and protect your overall health and wellness in the future.

Types of Hearing Tests

There are several types of hearing tests that can be used to assess different aspects of hearing function. Audiometry refers to the different kinds of hearing tests, and the results of these exams are plotted on an audiogram which shows the softest frequencies and pitches an individual is able to hear.  A pure-tone test is a common test that involves listening to a range of tones at different frequencies and volumes to determine the quietest sound a person can hear. Speech audiometry is another type of hearing test that evaluates a person's ability to hear and understand speech at various volumes. Tympanometry assesses the movement of the eardrum in response to air pressure and can help identify middle ear problems such as fluid buildup, wax buildup,  or a perforated eardrum. Otoacoustic emissions (OAE) testing measures the sounds emitted by the inner ear in response to sound stimulation, providing information about the health of the cochlea.

Those with normal hearing will produce emissions, whereas no sound is produced when hearing loss exceeds 25-30 decibels. OAE testing can help determine a blockage in the ear canal, excess fluid in the middle ear and any damage to the cochlea. Finally, Auditory brainstem response (ABR) testing measures the electrical activity of the auditory nerve and brainstem in response to sound, providing information about the integrity of the auditory system from the ear to the brain. ABR testing is used to discover sensorineural hearing loss and may be used on anyone whose hearing loss is in relation to the brain, or is otherwise unable to complete a typical hearing exam. By using a combination of these tests, audiologists can obtain a comprehensive assessment of a person's hearing abilities and identify the cause of any hearing loss or impairment.

Preparing for Your Hearing Test

Preparing for a hearing test involves a few key steps to ensure accurate and reliable results. Hearing tests are crucial for your audiologist or hearing health care professional to learn about your hearing ability and auditory health. These tips and recommendations can help you feel ready for your exam and can also help ease any tension or worry leading up. It is essential to schedule the test at a time when you are well-rested and alert. Avoid scheduling the test when you are sick or have a cold, as this can affect your hearing. Congestion as a result of illness can cause fluid to leak into the middle ear and can drastically affect your hearing test and give incorrect results. Exposure to loud noises leading up your appointment can also skew test results. The reduction in hearing as a result typically lasts about 16 hours, so avoid concerts or other loud environments and wear proper ear protection. As part of your preparation, it is also a good idea to clean your ears as audiologists first perform a visual inspection of your ears. Avoid using cotton swabs or putting anything inside your ears, and instead use a damp cloth with warm water. Before your appointment, gather your previous medical information and organize it in chronological order. You should also inform the audiologist about any medications you are taking or medical conditions you have that could affect your hearing or the test results. This will help your hearing healthcare professional determine the type of test that will be most suitable for you and yield the most accurate results. Additionally, address any insurance concerns prior as not all insurance plans cover hearing tests. It is also important to bring any hearing aids or assistive devices you are currently using to the appointment. Finally, you should consider any concerns or questions you may have about your hearing and be prepared to discuss them with the audiologist. By taking these steps, you can help ensure that the hearing test is accurate and that you receive the appropriate care and recommendations for any hearing issues that may be identified.

What to Expect During Your Hearing Test

During a hearing test appointment, you can expect a thorough evaluation of your hearing abilities. The appointment typically begins with check-in and a consultation with the audiologist, who will ask you about your medical history, symptoms, and any concerns you may have. They may also ask about if your work exposes you to loud noises, as noise-induced hearing loss is common. Your hearing healthcare provider will ask questions about the symptoms you are experiencing, if any, and will want to get to know your daily life for better insight on how your hearing may be affecting you.

There are a variety of tests that may be performed depending on the symptoms and age of the patient.  The pure-tone audiometry procedure occurs in a sound-treated room and involves wearing headphones and listening to a series of tones at different frequencies and volumes.

Speech audiometry is a component of many hearing exams and involves listening to and repeating words or sentences at different volumes. If necessary, a tympanometry test may be done to assess the movement of your eardrum and measure reflexive responses of the middle ear. An otoacoustic emissions (OAE) test is generally done for infants and children or other special populations. The OAE testing procedure measures the sounds emitted by the inner ear in response to sounds played through headphones. Lastly, the auditory brainstem response (ABR) testing procedure involves placing electrodes on your scalp to measure the electrical activity in your brainstem in response to sounds played through headphones. An ABR test is used to test hearing thresholds or to evaluate the function of the auditory neural pathway.  

Interpreting the Results

After your exam, your audiologist or hearing healthcare professional will discuss the results with you and recommend treatment options accordingly. Results from a hearing test are plotted on an audiogram, which is a graph used to measure the softest sounds a patient can hear.

Understanding the audiogram results is an important part of the hearing evaluation process. Based on the audiogram results, the degree of hearing loss can be determined. There are four degrees of hearing loss: mild, moderate, severe, and profound. The degree of hearing loss is determined by the level of sound that you can hear at different frequencies. Next steps and treatment options will depend on the degree of hearing loss and any underlying causes. Treatment options for hearing loss can range from hearing aids and cochlear implants to medication or surgery, depending on the cause of the hearing loss. It is important to seek the advice of an audiologist or other hearing healthcare professional to determine the best course of treatment for your specific situation. After implementing your treatment plan for some time, it is recommended to schedule a follow-up appointment to discuss and evaluate how the treatment is working.

Tips for Better Hearing Health

Maintaining good hearing health is important for overall well-being and quality of life. There are several tips that can help improve hearing health. Prevention strategies such as avoiding loud noises, limiting exposure to excessive noise, and taking breaks from noisy environments can help prevent hearing loss. Hearing protection such as earplugs or noise-canceling headphones can also help reduce exposure to loud noises. Regular hearing checks are important to monitor any changes in hearing ability and identify any potential issues early on. Additionally, a healthy diet, regular exercise, and avoiding smoking can also contribute to better hearing health. Overall, taking proactive steps to protect and maintain hearing health can help prevent hearing loss and improve communication abilities.

Have an Upcoming Hearing Test

To prepare for a hearing test, it is important to gather any relevant medical information, such as a history of hearing loss or any medications that may affect hearing. It is also recommended to bring a list of any symptoms or concerns about hearing ability. During the appointment, the audiologist will begin with a consultation to discuss the medical history and any concerns. Then, several tests will be performed to evaluate hearing ability and identify any potential issues. The results of the tests will be analyzed and discussed with the patient, along with any recommended treatment options or next steps. Overall, preparing for a hearing test involves gathering relevant information and being open to the testing process to help identify and address any hearing issues.

Hearing Test FAQs

What are the main types of hearing tests?

The main types of hearing tests are Pure-tone audiometry, Speech audiometry, Tympanometry, Otoacoustic emissions (OAE) testing, and Auditory brainstem response (ABR) testing.

How can I prepare for my upcoming hearing test?

To prepare for a hearing test, gather any relevant medical information, such as a history of hearing loss or any medications that may affect hearing, and bring a list of any symptoms or concerns about hearing ability.

What should I expect during a typical hearing test?

During a hearing test, expect a consultation to discuss medical history and concerns, followed by several tests such as Pure-tone audiometry, Speech audiometry, Tympanometry, Otoacoustic emissions (OAE) testing, and Auditory brainstem response (ABR) testing, to evaluate hearing ability and identify any potential issues. The results of the tests will be analyzed and discussed with the patient, along with any recommended treatment options or next steps.

How do I interpret the results of a hearing test?

To interpret results of a hearing test, an audiologist will analyze the patient's responses to each test and compare them to normative data. The audiogram will be used to determine the degree and configuration of hearing loss, and the results of other tests will help identify any potential issues with middle or inner ear function. Based on the test results, the audiologist will provide a diagnosis and recommend any necessary treatment options or management strategies.

What are some preventive measures for maintaining good hearing health?

Preventative measures for maintaining hearing health and protecting future hearing include proper ear care, wearing protective headwear like ear plugs, avoiding prolonged exposure to loud noise and regular hearing tests and exams.

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