A progressive high-frequency hearing loss that occurs with increasing age.

Alternative Names

Hearing loss - age related; Presbycusis

Causes, incidence, and risk factors

Age-related hearing loss (presbycusis) involves a progressive loss of hearing , beginning with high-frequency sounds such as speech. It is unknown if there is a specific cause such as noise trauma, but there appears to be a genetic predisposition. Age-related hearing loss tends to occur in families. The disorder occurs in about 25% of people ages 65 to 75 years old and in 70-80% of those over age 75.

Signs and tests

A physical examination may show wax in the ear that can be a contributing factor. Often the exam is unrevealing. Audiology or other testing determines the extent of hearing loss .

Treatment

There is no known cure for age-related hearing loss. Treatment is focused on functional improvement. Hearing aids (amplification) may help. Developing skills such as reading lips and using visual cues may aid communication but may be difficult skills for older people to learn.

Expectations (prognosis)

Age-related hearing loss is progressive. The disorder is not dangerous but leads to increasing difficulty with communication.

Complications

Deafness is a complication, and deafness-related problems like inability to hear fire alarms and social isolation.

Calling your health care provider

Call for an appointment with your health care provider if hearing loss occurs or worsens.