What Is a Diagnostic Adult Hearing Assessment? Learn More

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What Is a Diagnostic Adult Hearing Assessment? Learn More

What is a diagnostic adult hearing assessment?

A diagnostic adult hearing assessment is a structured clinical exam used to measure hearing health, detect hearing loss, and recommend treatment. It involves multiple tests performed by an audiologist using specialised equipment in a sound-treated environment.

What does the hearing test include?

The hearing exam process begins with a medical and hearing history, followed by several core procedures that assess ear function, hearing sensitivity, and speech understanding. Results are used to guide a personalised care plan.

StepPurposeTool Used
Case historyIdentify risk factors and symptomsInterview
Otoscopic examInspect ear canal and eardrumOtoscope
Pure-tone audiometryMeasure hearing threshold levelsAudiometer + Headphones
Speech audiometryEvaluate speech recognition abilityAudiometer + Word lists
TympanometryAssess middle ear pressure and functionTympanometer
Acoustic reflex testingCheck involuntary muscle response to soundReflex decay equipment

What are the key hearing tests?

Each one plays a role in identifying the type and cause of hearing loss.

  • Pure-tone audiometry: Measures the softest sounds you can hear at different pitches; identifies conductive, sensorineural, or mixed hearing loss.
  • Speech audiometry: Assesses how well you understand spoken words at various volumes; evaluates speech clarity and auditory processing.
  • Tympanometry: Examines eardrum movement in response to air pressure; detects fluid, infections, or middle ear dysfunction.
  • Acoustic reflex testing: Tests how ear muscles respond to loud sounds; helps pinpoint the location and type of hearing loss.

What does the evaluation show?

A hearing evaluation identifies the type and severity of hearing loss using measurable data.

Types of hearing loss include:

TypeDescriptionPossible Causes
ConductiveBlockage or damage in outer/middle earEarwax, fluid, otosclerosis
SensorineuralDamage to inner ear or auditory nerveAging, noise exposure, ototoxic medications
MixedCombination of conductive and sensorineuralChronic infections with inner ear damage

What are the symptoms of hearing loss?

Common hearing problem symptoms include:

  • Difficulty hearing in noisy settings
  • Frequently asking people to repeat themselves
  • Turning up the volume on devices
  • Misunderstanding conversations

Why is early testing important?

Early identification through a comprehensive hearing test improves treatment outcomes. It enables timely intervention, such as hearing aid consultation, medical treatment, or lifestyle changes to prevent further loss.

When should adults get tested?

Adults should have a routine hearing test every 3–5 years starting at age 50, or sooner if symptoms appear. High-risk groups include those exposed to loud noise, certain medications, or chronic illnesses.

What happens after the diagnosis?

Following a hearing diagnosis, the audiologist provides a personalised hearing plan, which may include:

  • Hearing aid evaluation
  • Referral to an ENT
  • Auditory training
  • Regular follow-up hearing care

How can hearing tests improve quality of life?

A professional hearing test supports long-term hearing care by restoring communication ability, reducing social isolation, and improving cognitive health. Scheduling a hearing test appointment is the first step toward better hearing.

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