Most of us know when it’s time for our annual physical or dental cleaning, but hearing tests often fall off our healthcare radar. Unlike a toothache or blurry vision, hearing loss typically happens so gradually that you might adjust to it without realizing how much you’re missing. These subtle shifts can affect your relationships, work performance and even your safety without you making the connection to hearing loss.

Having a baseline measurement of your hearing is valuable, much like knowing your normal blood pressure or cholesterol levels. When you have this information, you and your hearing care professional can spot changes early and take action before small issues become bigger problems.

What Are Some Signs You Need a Hearing Test?

Hearing loss can show up in ways that aren’t always obvious at first. You might notice that conversations are harder to follow, especially in noisy places or that people seem to mumble more than they used to. Asking others to repeat themselves, turning up the volume on the TV or phone, or struggling to hear high-pitched sounds like doorbells or alarms can also be signs. Some people experience ringing or buzzing in their ears, known as tinnitus, while others start avoiding social situations because listening feels exhausting. If any of these sound familiar, it may be time to check in on your hearing health.

How Often Should You Have a Hearing Test?

How often you should have a hearing test depends on your age, medical history and any existing hearing concerns. For adults between 18-50 with no known issues, a baseline test is a good starting point, followed by screenings every three to five years. Once you reach 50, annual tests are recommended since the risk of hearing loss increases with age. Regular checkups can help catch changes early and provide a clearer picture of your hearing health over time.

For children, hearing screenings typically begin at birth and continue during routine pediatric visits. After early childhood, tests every two to three years help monitor hearing development and detect any concerns before they interfere with speech or learning. If there are concerns about a child’s hearing at any stage, additional testing may be needed. No matter your age, staying on top of hearing tests can help ensure you’re addressing any changes before they start affecting daily life.

At your hearing appointment, the audiologist will start by discussing your medical history, lifestyle and any concerns you have about your hearing. They may ask about your exposure to loud noises, any ringing in your ears or whether you’ve noticed difficulty understanding speech. Next, they will examine your ears to check for any physical issues, such as earwax buildup or signs of infection. The hearing test itself involves a series of evaluations, including listening to tones at different pitches and volumes, as well as speech recognition tests to assess how well you hear and understand words. Once the tests are complete, the audiologist will go over the results with you, explaining any changes in your hearing and recommending next steps, which could include monitoring, protective measures or treatment options like hearing aids if needed.