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Many people pass a standard hearing test but still struggle to follow conversations in noisy places, a condition researchers call hidden hearing loss. Traditional hearing exams focus on detecting quiet sounds in silence, but they don’t measure how the ear and brain work together in real-world listening environments.

Hidden hearing loss is believed to stem from damage to the tiny nerve fibers in the inner ear that help the brain separate speech from background noise. When these connections weaken, understanding speech in busy settings becomes exhausting and can lead to frustration, social withdrawal, and mental fatigue.

Specialized tests like speech-in-noise assessments can help identify the problem, and management options include advanced hearing technology, strategies for improving communication in noisy settings, auditory training, and protecting ears from loud environments.

Recognizing hidden hearing loss early is important for maintaining social connections and reducing the long-term strain on the brain.

Learn More: Wall Street Journal – Can’t Hear in Noisy Places? It’s a Real Medical Condition

Doctor of Audiology (AuD) at  |  + posts

Dr. Ina Selita is a licensed Doctor of Audiology and the founder of NeuroHear. With a background in neuroscience research at NYU and Johns Hopkins, she integrates brain-based insights into hearing care to support long-term communication and cognitive health. Her work has been published in the Journal of Neurophysiology and presented at major international conferences. Dr. Selita’s approach combines advanced diagnostics, patient education, and compassionate care to help individuals and families stay connected through every stage of life.

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