Do I have hearing loss?


Contributed by Joy Victory, managing editor, Healthy Hearing
Last updated 2019-06-26T00:00:00-05:00

What’s the number one complaint hearing care professionals hear from their new patients with hearing loss? Ask them and they’ll likely say it’s, “I can hear, but I can’t understand.” If this is what you’re experiencing, you may have hearing loss.

Hearing loss involves not only the ears, but also the brain where sound is translated into meaningful words. Symptoms that vary between people. Hearing loss comes in all degrees from mild to profound. But most people, especially older adults, have mild-to-moderate hearing loss, especially the type that makes it harder to hear high-pitched sounds. In this case, the only symptom may be difficulty with word understanding, especially in situations where there is competing noise. 

Hearing vs. understanding

When your hearing is tested, the results are plotted on an audiogram. People with high-frequency hearing loss are said to have a “sloping” hearing loss. If you have a sloping hearing loss, it means you are able to hear low-pitched sounds, (sounds below 1000 Hz), sometimes even as clearly as someone with normal hearing. But, high-pitched sounds (sounds above 1000 Hz) need to be much louder before you can hear them.

While not always the case, high-frequency hearing loss is often the cause of feeling like you can hear but can’t understand.

Did you say parrot or ferret? 

In speech, the vowel sounds (A, E, I, O and U) are low in pitch while consonant sounds like S, F, Th, Sh, V, K, P and others are high in pitch. Being able to hear vowel sounds is helpful and will alert you that speech is present, but it’s the consonant sounds that give speech meaning and help you distinguish one word from another. Without being able to hear subtle differences between consonants, words like “cat” and “hat,” “parrot” and “ferret” and “show” and “throw” can be hard to differentiate. This is why so many people with high-frequency hearing losses brought about by natural aging (presbycusis) or excessive noise exposure have difficulty understanding even when they know sound is present.

Trouble hearing with background noise

A woman struggles to hear
If you feel like you can hear but not

understand speech, it may be an early

sign of hearing loss.

If you have a high-frequency hearing loss, you may notice problems understanding speech even in a relatively quiet environment, but when background noise is present or several people are talking at once, it can become nearly impossible to follow a conversation. People with hearing loss that has gone untreated for a number of years sometimes begin to avoid lively social situations or public places they once enjoyed because interacting with others is too difficult.

Signs of high-frequency hearing loss

When you have a high frequency hearing loss, you may have trouble:

  • following conversations in quiet and noisy places (hear but can’t understand).
  • talking on the phone.
  • understanding your favorite TV shows or movies even when you turn the volume up.
  • understanding female and young children’s voices because they tend to be higher in pitch.
  • enjoying music because it sounds distorted, especially at higher volumes.
  • feeling exhausted from listening

Symptoms of high-frequency hearing loss

Family members, friends and work colleagues can get frustrated and feel you aren’t listening to them when they speak to you. Your spouse may accuse you of having “selective hearing.” You may accuse others of mumbling. Sometimes, you will answer questions inappropriately and miss the punch lines of jokes. Other times, you may resort to smiling and nodding when someone speaks to give the impression you are listening when in fact, you do not understand what was just said (see this woman’s story for how that plays out in real life). Untreated hearing loss can take a toll on relationships, careers and your daily life. 

Pass a hearing test but still feel like you can’t hear?

If you’ve taken a hearing test and were told your hearing is fine, don’t give up trying to get answers just yet. Your ears may be fine—but your auditory nerve or your brain may have problems processing sounds or other sensory input. For example:

Auditory processing disorders (APD)

For some people, hearing but not understanding may signal an auditory processing disorder (APD). This means the nervous system—not the ears—struggles to make sense of the sounds coming in from the ears. APD is often diagnosed in children, but it also can be diagnosed in adults. 

Attention deficit disorder (ADD)

Attention deficit hyperactivity disorder (ADHD) also can make it hard to understand—in the sense that the brain can’t quite keep up with all incoming sensory inputs, including and sometimes especially noise. If you have undiagnosed and untreated ADD, you may pass a hearing test just fine, yet feel like you can’t understand people, or struggle to follow conversations.

In either case, a hearing aid may help a person with APD or ADD focus on the conversation they want to hear most, allowing them to amplify the voice of their preferred speaker (such as a professor). It’s worth noting that some people may have ADD or autism and an auditory processing disorder.

Don’t accept difficult hearing

If your hearing test reveals hearing loss, hearing aids can amplify the high pitches you’ve been missing without amplifying low-pitched sounds. Once you begin wearing hearing aids, you will notice improvement with understanding speech and you may even notice you’re hearing sounds that have long been forgotten. For instance, some new hearing aid wearers are pleasantly surprised to hear the soft chirping of songbirds for the first time in years. You will once again be able to hear that beeping sound your microwave makes, your car’s turn signal and your phone ringing.

If you can hear, but can’t understand, you’re not alone. This is what hearing care professionals hear almost every day from their patients, and they are highly skilled at getting to the root of the problem, listening to your concerns and finding a solution that meets your needs. Don’t give up on enjoying conversations at work, home and play. Find a hearing center near you with our directory, and make the call today.


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