Understanding your hearing assessment

Hearing test appointments

What the tests tell us

A guide to your hearing assessment

This guide explains the tests used during a hearing assessment, the types of hearing loss they can identify, and how the results guide your care.

To arrange an appointment, visit our free adult hearing test page. The adult assessment is free; an optional written report costs £49.

Your audiologist selects appropriate tests, explains the findings and discusses treatment or onward referral where needed.

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"Most people take hearing for granted until they start losing it"

Hearing loss symptoms

  • Do you have to ask people to repeat themselves multiple times per day?

  • Do you struggle to hear on the phone unless it is on the speaker phone?

  • Do you have a hard time understanding the lyrics to songs?

  • Do you feel that listening requires more effort than those around you?

  • Do you seem to struggle to hear in noisy environments? 

If your answer to any of these questions is yes, you need to see an Audiologist to assess your hearing.

Free hearing screening tool

Welcome to our Free Hearing Screener Tool. Our easy-to-use tool can help identify hearing loss. Some people may lose hearing gradually and they may not realize it. Our free hearing screening tool is designed to help identify those who may have hearing difficulties and encourage them to seek professional medical advice.
We encourage anyone who may be experiencing hearing difficulties to take the free screening and learn more about their hearing health.
Please note that the Free Hearing Screening Tool is not intended to replace a professional hearing evaluation.

Children hearing assessments

We assess children over three years old using tests matched to their age and developmental needs. The £99 appointment includes hearing assessment, a written report and earwax removal if required.

Two audiologists are arranged when the assessment needs require them, including some play-based assessments and assessments for children with autism. Please tell us about additional needs when booking. A parent or guardian must accompany the child.

Read more about children's hearing assessments.

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What is a hearing test?

During your hearing test, our audiologists will take an in-depth case history and perform a series of tests to check the functioning and sensitivity of your ears. We use the latest technology and techniques to ensure accurate results. Our team of experts will then discuss the results with you and provide recommendations for any necessary treatment.

Some facts:

  1. Hearing tests are important for detecting hearing loss and other ear-related issues.

  2. A hearing test involves a series of tests to measure how well you can hear.

  3. During the test, you will be asked to listen to a range of sounds and indicate when you hear them.

  4. The results of the hearing test will help your GP determine the best treatment for any hearing loss or other ear-related issues.

  5. Hearing tests are painless and non-invasive.

  6. Regular hearing tests can help detect any changes in your hearing over time.

  7. Annual hearing tests are recommended for adults over the age of 50.

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Video otoscopy: -

First, your audiologist will conduct a video otoscopy. This will enable them to see your eardrum and check for any abnormalities in the outer and middle ear.

Pure-tone audiometry: -

Second, you’ll be asked to complete an audiogram. This is a chart that measures your hearing ability at different frequencies. You’ll be asked to wear headphones and press a button when you hear a sound. The results of the audiogram will help the audiologist determine the type and degree of hearing loss you may have.

Tympanometry: -

The third test is the tympanometry test, which is an automated test that provides the audiologist with detailed information about the functioning of your middle ear in particular. Acoustic reflex testing is a test that measures how well your middle ear is functioning. It is done by measuring the response of your middle ear muscles to loud sounds.

Speech audiometry

Lastly, the fourth test is called speech audiometry, and is a great way to measure how you react to different speech sounds. This type of hearing test is a simple and effective way to assess your hearing and identify any speech perception issues.
Hearing assessments

Signs of hearing loss

Loss of hearing does not just mean that someone is unable to make out faint noises. It is more common, especially in cases of age-related hearing loss, that the capacity to detect high-pitched sounds is the first to be affected. For instance, the first sounds that a person may not be able to hear clearly are the chirping of birds and the voices of women and children. Hearing loss also reduces the ability to hear certain consonants in speech, which can make it hard for the person with hearing loss to understand conversations. Depending on the cause and type of hearing loss, it is also possible to experience difficulty hearing mid-or even low-frequency sounds, or all frequencies equally. Another symptom of hearing loss may be tinnitus.

Types of hearing loss

Conductive Hearing Loss Conductive hearing loss means that sound cannot get through the outer or middle ear. This type of hearing loss may be caused by fluid, earwax, or an infection in the ear and is often temporary. Medication or surgery may be a solution for conductive hearing loss.
Sensorineural Hearing Loss: Sensorineural hearing loss comes from issues with the inner ear. This type of hearing loss is usually permanent. Age, noise, and genetics are common reasons for sensorineural hearing loss. Hearing aids and cochlear implants are the most likely solutions to allow someone with sensorineural hearing loss to hear again.
Mixed Hearing Loss This type of hearing loss is a combination of conductive and sensorineural hearing loss.
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Causes of hearing loss

A hearing test can be used to identify the type and severity of hearing loss. This could be a conductive hearing loss, which is caused by issues in the outer or middle ear, or a sensorineural hearing loss, which is caused by issues in the inner ear. Conductive hearing loss is often treatable with medication or surgery, while sensorineural hearing loss is usually permanent. Mixed hearing loss, which involves elements of both conductive and sensorineural hearing loss, is also possible.

  • Causes in the outer or middle ear (Conductive hearing loss)
  • Hearing loss caused by issues in the outer ear or the middle ear is called conductive hearing loss. Most outer and middle ear problems can be treated with medication or surgery. The most common causes of hearing loss caused by the outer or middle ear are
  • Occluding earwax in the ear
  • Ear infection (e.g. otitis media)
  • Fluid behind the eardrum
  • Inflammation
  • Perforation of the eardrum
  • Otosclerosis (a stiffening of the bones in the middle ear)
  • Deformations of the ear canal
  • A foreign object in the ear canal
  • Causes in the inner ear (Sensorineural hearing loss)

Hearing loss caused by issues with the inner ear is called sensorineural hearing loss. Most hearing issues arise in the inner ear when hair cells become damaged. When the hair cells are damaged, often as a result of years of exposure to loud noises and ageing, it can affect the transmission of signals to the auditory nerves. Usually, inner ear hearing loss cannot be corrected medically. However, hearing difficulties can be improved with hearing aids. The most common causes of sensorineural hearing loss are : –

  • The natural ageing process (presbycusis)
  • Exposure to loud noises
  • Some types of medication (ototoxic drugs)
  • Skull fractures or other head injuries
  • Genetics
  • Illnesses (e.g. Ménière’s disease, Diabetes, etc)
  • Inner ear malformations

Hearing test appointments

Yes! we do it - home visits

Services Offered:

  • Ear Wax Removal
  • Hearing Assessments
  • Ear Health Checks

Where:

  • In the comfort of your home
  • Service area: Dartford and a five-mile radius
  • Case-by-case consideration for locations outside the specified area

Price: Only £175 per visit

Inclusions:

• Otoscopy (ear examination) • Health history review • Ear microsuction (wax removal) • Comprehensive hearing assessment

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Eligibility: This service is intended for individuals who are unable to visit the clinic due to physical constraints or other issues preventing travel. Please do not book if you are capable of attending the clinic.

Benefits:

  • Convenient home visits
  • Professional ear and hearing care without the need to travel
  • Comprehensive assessment and treatment in one visit

 

Contact Us

To book an appointment or for more information, please contact us. We look forward to assisting you with your ear and hearing health needs right at your doorstep.

Maximize your ear care and hearing health with our convenient home visit services. Our team of professionals is ready to provide top-notch ear wax removal, hearing assessments, and ear health checks, all from the comfort of your home. Enjoy hassle-free appointments on weekends, ensuring minimal disruption to your schedule. Our comprehensive service, priced at £175 per visit, includes ear microsuction, a thorough hearing assessment, a health history review, and an otoscopy.

Don’t let mobility issues or other constraints prevent you from receiving the care you need. We proudly serve Dartford and the surrounding five-mile radius, with case-by-case consideration for other locations. Prioritize your ear health without the need to travel—contact us today to book your home visit appointment!

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How can we help?

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