Ear, nose, and throat Archive

New regulations allow Americans to buy hearing aids over the counter, without requiring a hearing test. These devices will cost less and can only treat mild to moderate hearing loss--will they be right for you?

An estimated 30 million Americans experience some level of hearing loss, but only about 20% of them seek hearing aids. Many people can't accept they can't hear well, or won't act on symptoms. People should seek help if they have trouble hearing conversations, TV, and other sounds, and should see a doctor quickly if they have hearing loss in only one ear, pain, ear drainage, or vertigo. Visits with an audiologist and otolaryngologist (ear, nose, and throat doctor) are typically needed to get prescription hearing aids. Over-the-counter hearing aids are expected to be available online and in stores starting in late 2022.

In August 2022, the FDA approved a new category of safe, regulated hearing aids to be sold over the counter. The devices are meant only for people with perceived mild-to-moderate hearing loss who need to amplify the volume of sounds around them.

Around menopause, a decline in estrogen can trigger low-grade inflammation that leads to unexpected symptoms from head to toe. Symptoms can affect the digestive tract, skin, joints, eyes, ears, and heart, among other areas. A 2022 study found that estrogen loss can even fuel the jaw pain known as temporomandibular disorder. A year or longer can pass before many women connect symptoms with menopause. Women can take lifestyle measures to lower inflammation, such as eating more fruits and vegetables, avoiding processed foods, and exercising.

While there is no cure for tinnitus—the mysterious condition that causes a sound in the head with no external source—many people can manage symptoms and control their reaction by practicing sound therapy, masking, counseling or cognitive behavioral therapy. Sound therapy helps to change your brain's perception of tinnitus so it learns to ignore the noise, while masking works to cover up the sounds with background noise like white noise, ambient sounds, and nature music.

Tinnitus is an internal high-pitched ringing, whooshing, or hissing noise. The condition can make it hard to concentrate, reduce sleep quality, and cause irritability, nervousness, anxiety, depression, or feelings of hopelessness. Methods for easing tinnitus symptoms include treatment of underlying conditions, trigger avoidance, hearing aids, sound masking devices, exercise, stress reduction, and social connection. Certain programs can also help reduce tinnitus symptoms, such as cognitive behavioral therapy, group support, and tinnitus retraining therapy.

While hearing loss and dementia seem to be connected, doctors don't know if hearing loss causes cognitive decline. It may be that an unknown common factor causes both problems. But regardless of whether hearing loss may be an early indicator of dementia or a risk factor for the condition, it should be treated. Improving hearing can improve the ability to connect with others and quality of life.

In October 2021, the FDA proposed rules to create a new category of over-the-counter hearing aids that would require special regulations and FDA approval. Approval of the rules is expected sometime in 2022.