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Understanding the Hearing Aid Fitting Process: What to Expect

Writer's picture: San NimatSan Nimat
The journey to better hearing begins with the right hearing aid, and the fitting process plays a crucial role in ensuring the device works effectively for you. A properly fitted hearing aid not only enhances sound quality but also improves comfort and overall satisfaction.
 
In this blog, we’ll walk you through the hearing aid fitting process, from your initial consultation to fine-tuning adjustments, so you know exactly what to expect.
 
Step 1: Hearing Assessment
 
The first step in the fitting process is a comprehensive hearing assessment conducted by an audiologist or hearing specialist. This evaluation helps determine:
     •           The degree of hearing loss (mild, moderate, severe, or profound).
     •           The type of hearing loss (conductive, sensorineural, or mixed).
     •           Your ability to hear speech in different environments.
 



This test typically involves a combination of audiometry tests and speech recognition tests. The results are recorded on an audiogram, a visual representation of your hearing abilities across various frequencies.
 
Step 2: Choosing the Right Hearing Aid
 
Based on your audiogram and lifestyle needs, the audiologist will recommend hearing aids that suit you best. Factors to consider include:
     •           Hearing aid style: Options range from behind-the-ear (BTE) to invisible-in-the-canal (IIC) models.
     •           Technology level: Modern hearing aids come with advanced features like Bluetooth connectivity, noise cancellation, and rechargeability.
     •           Lifestyle considerations: If you frequently attend social events, enjoy music, or work in noisy environments, certain features may be more beneficial.
 
Brands like Oticon, Phonak, Starkey, and Widex offer a variety of options tailored to individual needs.
 


Step 3: Custom Ear Moulds or Shells
 
For hearing aids that fit inside the ear canal, a custom mould may be necessary.
     •           Taking Impressions: The audiologist will make a mold of your ear using a quick-curing silicone material. This ensures a snug and comfortable fit.
     •           Processing the Mold: The mold is sent to a lab to create a custom shell or ear mould for your hearing aid.
 
Custom moulds are particularly useful for people with profound hearing loss or those who need a secure fit for active lifestyles.
 
Step 4: Initial Fitting Appointment
 
Once your hearing aids are ready, you’ll attend your initial fitting appointment. This session involves:
        1.      Programming the Hearing Aids: The audiologist will use specialized software to program the devices based on your audiogram.
        2.      Adjusting Amplification: The devices are calibrated to amplify specific frequencies where your hearing loss is most significant.
        3.      Comfort Check: The audiologist ensures the hearing aids fit comfortably and do not cause irritation.
 


Step 5: Real-Ear Measurements
 
Real-ear measurements (REM) are an essential part of the fitting process. A small microphone is placed in your ear canal to measure how sound is delivered by the hearing aid. This ensures:
     •           Accurate amplification at different frequencies.
     •           The hearing aid meets your specific hearing loss needs.
 
Step 6: Learning to Use Your Hearing Aids
 
At this stage, you’ll receive guidance on how to:
     •           Insert and remove your hearing aids.
     •           Change batteries or recharge the devices.
     •           Clean and maintain the devices to prolong their lifespan.
     •           Use special features like Bluetooth or volume adjustments.
 
You’ll also get tips on adapting to the new sounds you’ll experience. It’s normal for your brain to take some time to adjust to amplified sounds.
 


Step 7: Follow-Up Appointments
 
The fitting process doesn’t end after your initial appointment. Follow-up visits are critical to ensure optimal performance. During these sessions:
     •           The audiologist may fine-tune the settings based on your feedback.
     •           You can address any discomfort or issues with sound quality.
     •           Additional features or accessories may be introduced to enhance usability.
 
Common Challenges During the Fitting Process
 
It’s normal to experience some challenges as you adjust to your hearing aids. These might include:
     •           Overwhelming sounds: Everyday noises, like typing or chewing, may seem amplified initially.
     •           Difficulty in noisy environments: It takes time to adapt to conversations in busy spaces.
     •           Physical discomfort: Slight irritation can occur but should subside as you get used to wearing the devices.
 
Patience is key. The adjustment period varies for everyone, but consistent use and communication with your audiologist can help resolve these issues.
 
Tips for a Successful Hearing Aid Fitting Experience
        1.      Be Honest About Your Needs: Share your daily routines and hearing challenges with your audiologist.
        2.      Ask Questions: Whether it’s about care, maintenance, or specific features, don’t hesitate to ask.
        3.      Wear Them Regularly: The more you wear your hearing aids, the quicker your brain will adapt.
        4.      Schedule Regular Check-Ups: Routine visits ensure your devices are always functioning at their best.
 


The hearing aid fitting process is designed to provide you with personalised care and a device that meets your unique hearing needs. While it may take some time to adapt, the result is a significant improvement in your quality of life.
 
If you’re ready to take the next step in your hearing journey, book an appointment with our audiologist today. A well-fitted hearing aid can make all the difference.
 

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