Age-related hearing loss: common questions answered

profile picture of David Baines
Lead Physician, Bupa
14 September 2023
Next review due September 2026

Do you find yourself constantly turning up the volume on the TV? Or maybe you struggle to follow conversations? These are both signs of age-related hearing loss. It can be easy to miss, as it comes on so gradually you might not even notice a difference. But knowing how to deal with it can make a big difference to your life.

In this article I answer some key questions about age-related hearing loss.

An image of a person's ear

What age does age-related hearing loss start?

Your hearing tends to get gradually worse throughout life. So it can be hard to tell an exact age that it starts. It generally starts to become noticeable around the age of 60. In the UK, around 4 in 10 people may have some degree of hearing loss by age 50. This increases to 7 in 10 by age 70.

What are the symptoms of age-related hearing loss?

It’s likely that you won’t notice any problem at first as age-related hearing loss develops slowly. But over time, you may notice that you’re struggling to hear high-frequency sounds. This includes some parts of speech. Sounds that can be particularly hard to hear include ‘p’, ‘s’, ‘f’ and ‘th’.

The following are common signs of age-related hearing loss.

  • You often think other people are mumbling when they speak.
  • You have to keep asking people to repeat themselves.
  • You struggle to hear if there’s lots of background noise.
  • It’s hard to follow group conversations.
  • Other people think you have the TV or music on too loud.
  • It’s hard to hear on the phone.

Age-related hearing loss usually affects both ears. It can be tiring constantly struggling to hear or keep up with conversations. It can affect your mood too, and make it hard to think clearly. Often, family members or friends will notice changes in your hearing before you do.

What are the most common causes of age-related hearing loss?

Age-related hearing loss is due to many different factors and changes in your ear that happen over time. One of the main changes is to tiny hairs in part of your inner ear called your cochlea. These hairs change sound vibrations into signals that can be recognised by your brain. Over time, these hairs become worn down. There can be changes to nerves, blood vessels, and other structures in your ear too.

There are other factors that can contribute to your hearing loss too. These include:

  • genetic factors – whether hearing loss is common in your family
  • exposure to loud noises
  • certain medicines that can affect your hearing
  • if you tend to get lots of ear infections
  • having certain health conditions that may affect hearing

How do you prevent hearing loss in old age?

You can’t completely prevent hearing loss. Everyone eventually gets some degree of hearing loss as they age. But there are things you can do to delay it or slow it down. Hearing loss is linked to conditions affecting your heart and blood vessels. This means these healthy lifestyle factors may help:

  • not smoking
  • following a healthy diet, low in saturated fat
  • keeping physically active

There are also things you can do to help prevent other causes of hearing loss, that may worsen your symptoms. This includes:

  • keeping your ears clean and removing earwax if needed
  • avoiding loud noise including music, or wearing ear protection to reduce noise when needed

If earwax is contributing to hearing loss, you can use ear drops to soften and help remove it. Sometimes, you may need professional help to get earwax removed. Never try to remove earwax yourself by inserting cotton buds or any other objects into your ear.

What should I do if I think I have hearing loss?

If you think your hearing is getting worse, the first step is to book a hearing test. There are many private clinics that offer free hearing tests. These include high street chains and independent clinics. You can access these without a referral from your GP.

You can also arrange a free hearing test through your GP. It’s always best to see your GP if you have other symptoms. These might include tinnitus (ringing in your ears), vertigo or sudden-onset hearing loss. They can examine your ears and refer you for a full hearing assessment if they agree this would be a good idea. Hearing tests are carried out by health professionals called audiologists. The audiologist may be based at a hospital or in a local clinic.

What support is available to help manage hearing loss?

There’s no cure for age-related hearing loss. But hearing aids can really help. Hearing aids work by making sounds louder – they can’t make your hearing normal again. It can take a while to adjust to wearing them. But with practice and support, it can make a big difference to your hearing. Some people who have very severe hearing loss may be eligible for surgical treatment.

Hearing loss can affect many different areas of someone’s life. It can have negative effects on mood, increase social isolation and reduce independence. It can lead to serious safety concerns too if someone cannot hear or respond to alarms and warnings. And there’s also a link between hearing loss and increased risk of dementia. Hearing aids can help with all of these factors and improve day to day life.

How can I communicate better with someone with age-related hearing loss?

There are lots of things that can help you communicate.

  • Reduce any background noise, like music or the TV.
  • Think about the surrounding environment. Soft furnishing (like carpets, curtains and cushions) can improve sound quality.
  • Make sure there is good lighting and the person can see your face when you’re speaking.
  • Try to speak clearly. Be careful with how you pronounce words, but don’t shout or exaggerate your lip movements.

These tips can help people with age-related hearing loss to feel valued and included.

Do you know how healthy you truly are? Bupa health assessments give you a clear overview of your health and a view of any future health risks. You'll receive a personal lifestyle action plan with health goals to reach for a happier, healthier you.

profile picture of David Baines
Dr David Baines (he/him)
Lead Physician, Bupa



Pippa Coulter, Freelance Health Editor.

    • Hearing loss in adults. NICE Clinical Knowledge Summaries., last revised September 2019
    • Presbycusis. StatPearls., last updated 29 May 2023
    • Types and causes of hearing loss and deafness. Age-related hearing loss. RNID., accessed 29 August 2023
    • Earwax. NICE Clinical Knowledge Summaries., last revised May 2023
    • Get your hearing tested. RNID., accessed 29 August 2023
    • Hearing loss and dementia: how are they linked? RNID., last updated 1 March 2023
    • Communication tips if you have hearing loss. RNID., pages last updated 15 May 2023

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