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Woman with bilateral hearing loss cupping her ear.

What is bilateral hearing loss?

Hearing loss that affects both ears is referred to as bilateral hearing loss. While it is common for bilateral hearing loss to occur gradually over time, in some (rare) cases, it can occur suddenly.

Since the experience of bilateral hearing loss can vary from one person to another, it is important to have your hearing loss evaluated by a hearing care professional. Additionally, there are other hearing health conditions that might have overlapping symptoms with bilateral hearing loss, so seeking advice from a professional will ensure that you are treated for your specific hearing loss needs.

Should you take a hearing test?

Bilateral hearing loss depicted with symbols of sound rejection near both ears.
Woman wearing headphones and holding a response button during a hearing test.

Book a free test for bilateral hearing loss

Schedule a free hearing test to find out if you have bilateral or any other type of hearing loss. We can suggest treatment options and help you understand your condition better.
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Have you had a hearing test before?

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What causes bilateral hearing loss?

Learn about the various factors that can cause hearing loss:

Smiling baby with hands near mouth in soft lighting.
Congenital factors
Bilateral hearing loss may be present from birth. The propensity to develop hearing loss can be inherited from one or both parents
Hand holding a pill as it is poured from a medication bottle
Medications
Some medications, including prescription medicines, can cause damage to the ears and are known as ototoxic drugs
Man using a metal grinding tool with sparks flying, wearing ear protection to prevent hearing damage.
Exposure to loud noises
Being exposed to loud sounds, such as when attending a concert or working at a building site, can cause temporary or long-term hearing damage.
Woman touching her ear, appearing to experience ear discomfort.
Physical damage
Hearing loss can result from physical damage to the hearing organs, including a ruptured eardrum or earwax build-up.
Family consulting with audiologist in a clinic setting.
Ear infections
Many people, especially children, are susceptible to ear infections, which can cause blockages or structural damage to the ears and hearing organs.
Woman with gray hair touching her ear, engaged in conversation in a cozy indoor setting.
Aging
Age-related hearing loss, which is also called Presbycusis, is the most common form of sensorineural hearing loss.
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Symptoms of bilateral hearing loss

Since hearing loss often occurs gradually over time, it can be difficult to identify the symptoms. Whether the signs of hearing loss are obvious or not, it is worth seeking professional advice even if you only notice the slightest of signs. Being proactive will help you to receive a proper diagnosis as early as possible so that you can seek treatment (if necessary). Any recognizable symptoms can be a sign of mild, moderate, severe, or profound hearing loss.

Common symptoms of hearing loss include:

  • Difficulty understanding others, especially in noisy environments
  • Turning up the TV volume louder than usual
  • Asking others to repeat themselves
  • Relying on lip reading to understand what others are saying

Additionally, unilateral hearing loss is typically easier to spot since sounds will be louder in one ear than the other. Bilateral hearing loss can be identified when sound is generally more difficult to hear in both ears.

An older man sits with an audiologist in a hearing clinic. The audiologist holds a device, discussing hearing aids on the desk. A monitor displays hearing test results; plants decorate the scene.

Treatment for bilateral hearing loss

Modern hearing aids are able to provide those with bilateral hearing loss with a natural hearing experience. Today's hearing aids not only amplify sound, but they send detailed sound signals to the brain, so that you can hear better with less effort.

In fact, the latest hearing aids can significantly improve speech understanding and increase the amount of sound delivered to the brain, providing a clearer sound scene. This enables those with bilateral hearing loss to hear more details in surrounding sounds.

Book an appointment Hearing loss treatment

Types of bilateral hearing loss

Bilateral hearing loss can be classified as either sensorineural or conductive in nature.

Bilateral sensorineural hearing loss

Sensorineural hearing loss implies that the tiny hair cells in the inner ear or the auditory nerve (responsible for transmitting sound to the brain) are damaged. It is most often caused by the natural aging process or exposure to loud sounds.

Sensorineural hearing loss

Cross-section diagram of the inner ear highlighting the cochlea and auditory structures.

Bilateral conductive hearing loss

Conductive hearing loss occurs in the outer or middle part of the ear, where sound is converted to vibrations and sent to the inner ear. This type of hearing loss refers to issues with transferring sound waves (due to a blockage or other impediment.) Excessive ear wax, a ruptured ear drum, or even ear infections can result in conductive hearing loss.

Conductive hearing loss

Cross-section of the human ear showing the outer, middle, and inner ear structures

Sources

1. Santurette, S., Ng, E. H. N., Juul Jensen, J., & Man K. L., B. (2020). Oticon More clinical evidence. Oticon Whitepaper.

2. EEG testing with MoreSound Intelligence in on vs off setting, from Santurette et al.

3. https://www.oticon.com/solutions/more-hearing-aids

4. https://wdh02.azureedge.net/-/media/oticon-us/main/download-center---myoticon---product-literature/whitepapers/15500-0635---oticon-more-clinical-evidence-whitepaper.pdf?rev=C108&la=en

*A comprehensive hearing assessment is provided to adults ages 19 and older at no cost. The results of this assessment will be communicated verbally to you. If you request a copy of the Audiological Report, an administrative fee will apply, excluding Saskatchewan residents. Child hearing tests are conducted at select locations for a fee, please contact us for more information. Offer not available in Quebec. Not applicable for industrial hearing tests. The hearing discount promotion is valid for select premium or advanced hearing aid models and cannot be combined with any other discount. Applies to private sales of premium or advanced hearing aids and discount is applied after any Government funding has been deducted. Discount offer expires 31/01/2026. $25 Coffee Gift Card offer is valid only at participating locations for new clients completing their first hearing test. Limit one $25 gift card per individual. Coffee Gift card will be sent by email in 7–14 days following appointment completion. Offer expires 28/02/2026. We reserve the right to amend or cancel this offer at any time without notice. Some conditions apply, see clinic for details. Offer not valid in Quebec. **90-Day money-back guarantee begins at the date of purchase. If you are not completely satisfied, you can return it within 90 days for a full refund or exchange. ***If you are quoted a lower price on an comparable hearing aid with the same features, options and services, HearingLife Canada Ltd. will match that price. Conditions Apply. Ask our hearing care professionals for more details. 150,000 Doctor referrals based on the all-time number of referrals from general physicians, Ear, Nose & Throat specialists, and medical professionals as indicated by clients on our intake forms. With financing plan, deposit may be required. Borrower must be age of majority and have a Canadian bank account. Financing is available on select core-brand hearing aids and at select HearingLife locations.