Types of hearing loss

Author thumbnail Laura James  |  Published 18 May 2018  | Updated 26 September 2024  | 5 mins read

Three friends laughing and smiling.

About 700 million people suffer from hearing loss around the world. That’s a lot of people – 10% of the global population, in fact. But are they all experiencing the same type of hearing loss?

The answer is no. There are two main different types of hearing loss as well as different levels of hearing, from mild to profound. Everyone’s hearing loss is unique. In this article, we will go over the different types and levels of hearing loss.

What are the two main types of hearing loss?

Hearing loss, not to be confused with deafness, is when the sound signals from outside sources are not processed properly by the brain. Often it occurs gradually, but there are some cases when it will occur suddenly, and some people are even born with it.

When it comes to hearing loss, there are two main types that you should be aware of: sensorineural hearing loss and conductive hearing loss. Typically you will experience one of these two, although some may experience mixed hearing loss, which is when both types occur.

Audiologist examining a patient's ear with an otoscope, focusing on the ear canal and eardrum.

Sensorineural hearing loss (SNHL)

Also known as SNHL, sensorineural hearing loss is the most common form of hearing loss, and can be managed, but usually not cured.

The symptoms of SNHL include: 

  • Difficulty picking out speech against noisy backgrounds. 
  • Difficulty understanding speech on the telephone. 
  • Certain sounds are too loud. 
  • Trouble hearing certain speech sounds, especially fricatives and sibilant fricatives (including ‘f’, ‘th’, ‘s’, and ‘ch’ sounds). 
  • Difficulty detecting the source or direction of a sound.

Causes of sensorineural hearing loss

Sensorineural hearing loss is caused when the hair cells inside the inner ear or the auditory nerve are damaged. This can be because of trauma, infection, viruses, or the natural ageing process. 

Treating sensorineural hearing loss

Often there is no cure for sensorineural hearing loss as the damage is permanent. It’s recommended to treat the cause of the hearing loss where possible. Infections and illnesses that can be treated, should be treated quickly to help preserve as much of your hearing as possible.

Although it is usually permanent, SNHL can be managed through the use of tools such as hearing aids, cochlear implants, or speech therapies.

Young woman holding her ear while talking to a friend, indicating she may be having difficulty hearing or is trying to listen closely.

Conductive hearing loss

Conductive hearing loss covers a range of conditions that block or partially obstruct sound waves from entering the middle ear, eardrum or outer ear. In many cases, conductive hearing loss can be treated, although some conditions can be permanent.

The symptoms can vary from mild hearing loss to pain in the ear:

  • Sounds seem faint or muffled. 
  • Low, bassy frequencies are harder to discern. 
  • Young children may have difficulty understanding speech or responding to prompts. 
  • Some conductive hearing loss conditions, like otitis media, can be painful.

Causes of conductive hearing loss

Conductive hearing loss includes a range of conditions, including:

  • Earwax build-up.
  • An object trapped in the ear.
  • A perforated eardrum.
  • Exostoses – a bone growth inside the ear canal.
  • Otosclerosis – calcification of the middle ear bones.
  • Otitis externa – infection or irritation of the outer ear.
  • Otitis media – inflammation of the middle ear, sometimes accompanied by ‘glue ear’.
  • Stenosis or atresia – a narrowing or blockage of the ear canal.
  • Swelling or dysfunction of the eustachian tube (which maintains the balance of pressure in the ear).

Treating conductive hearing loss

Treating conductive hearing loss will depend on the specific cause. Some conditions will go away on their own, others will need treatment. For example, excessive earwax may need an earwax removal treatment, infection might require antibiotics, and some conditions may also require surgery. 

Other types of hearing loss

Although sensorineural and conductive hearing loss are the main two types, there are others which can be used to describe other aspects for loss of hearing.

Mixed hearing loss

Mixed hearing loss is exactly what it sounds like – a combination of sensorineural and conductive hearing loss.Unilateral or bilateral hearing loss

These types of hearing loss Indicate whether one (unilateral) or both (bilateral) ears are affected by hearing loss

Progressive or sudden hearing loss

Progressive hearing loss happens over time while sudden hearing loss appears suddenly and should be investigated immediately.

Is tinnitus a type of hearing loss?

Tinnitus is not a type of hearing loss itself, however it is often associated with hearing loss issues. It’s a condition in which you can hear sounds even though there’s no external noise. These sounds can range from low hums to a high pitched whistling or ringing and can impact your quality of life.

Do you think you have hearing loss?

If you think you might have hearing loss, it’s important to become familiar with the signs of hearing loss and have it investigated as soon as possible. THCP offer free hearing tests to assess your hearing and whether you require hearing aids. We also have an online hearing test for you to take to help indicate if you should have your hearing tested. 

If you suspect you or your loved one has hearing loss then the best thing you can do is to speak to a professional.