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The level of hearing loss that requires a hearing aid

When hearing becomes harder than “normal,” a hearing aid may be needed.

Your hearing may be reaching the point where a hearing aid can make a difference—when softer sounds start to fade, and conversations become harder to follow, especially in noisy environments. This usually signals mild to moderate hearing loss, and it’s a good time to speak with a hearing care professional about how hearing aids can help you stay connected, confident, and engaged in everyday life.

Key Takeaways

  • Hearing loss comes in degrees: from mild to profound. Knowing where you stand can guide you to your next step.
  • Early-stage hearing changes (mild) might mean you regularly turn up the TV or ask people to repeat themselves. Act then, and you’ll keep your social life strong.
  • At moderate or worse levels, conversations and listening become a struggle; the sooner you seek support, the better.
  • The right hearing aid style is out there for you—whether you want something nearly invisible or a device built for powerful amplification in noisy places.
  • The best step? A professional hearing test. It shows your hearing level and helps you find the solution that keeps you engaged, confident, and hearing well.

Degrees of hearing loss

Understanding the different degrees of hearing loss can help you recognize where you stand and what solutions might help. From mild changes that make soft sounds harder to catch, to more significant loss that affects daily communication, knowing your hearing level is the first step toward clearer, more confident listening. A hearing test can confirm your level of hearing loss and guide you toward the right support or hearing aid options. You could even start with a free online hearing test to get an initial idea of where your hearing is at.

Mild hearing loss (21–40 dB)

Mild hearing loss often means you can hear most everyday sounds, but softer voices or speech in noisy places may start to feel unclear. You might notice yourself turning up the TV or asking people to repeat themselves more often. While it may seem minor, addressing mild hearing loss early can make conversations easier and help prevent further strain or social isolation. 

Moderate hearing loss (41–55 dB)

Moderate hearing loss can make following conversations, especially in groups or noisy places, much more challenging. You may catch some words but miss others, making speech sound muffled or unclear. Sounds like birds singing or a soft-spoken voice might fade into the background. At this stage, hearing aids are often recommended to help you hear more naturally, stay engaged in conversations, and enjoy a richer connection to the world around you.

Moderate severe hearing loss (56-70 dB)

Moderately severe hearing loss often means you struggle to hear most conversations, even in quiet settings. Normal speech may sound distant or unclear, and you might rely more on lip reading or visual cues to follow along. Notifications like a phone ringing or a doorbell can become hard to detect. At this level, properly fitted hearing aids can make a significant difference, helping you regain clarity, confidence, and connection in your daily interactions.

Severe hearing loss (71 – 90 dB)

Severe hearing loss means most speech and many background sounds are difficult or impossible to hear without amplification. You may only catch loud voices spoken close to your ear or rely heavily on lip reading to understand others. Routine noises like traffic, music, or conversation often fade away. Hearing aids with powerful amplification or other assistive listening devices can help you reconnect, making voices and environmental sounds more accessible and communication more comfortable.

Profound hearing loss (91 dB and above)

Profound hearing loss means you may not hear speech or familiar sounds, even at high volumes. Communication often relies on lip reading, gestures, or sign language, and sounds like alarms or sirens may go unnoticed. At this stage, powerful hearing aids or cochlear implants can provide meaningful sound awareness, helping you reconnect with people and experiences in ways that support your lifestyle and communication needs.

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What level of hearing loss requires a hearing aid?

Hearing aids are often recommended once hearing loss reaches the mild and mildly moderate level, when speech and everyday sounds start to become difficult to hear clearly, especially in group settings or noisy environments. Even those with mild hearing loss can benefit from hearing aids, depending on lifestyle and communication needs. Early use can help reduce listening strain, improve speech understanding, and maintain stronger connections with the world around you. A professional hearing test is the best way to find out your level of hearing loss and determine the most effective solution for your needs.

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Types of hearing aids for different levels of hearing loss

Invisible-in-canal (IIC)

Best for: The invisible-in-canal hearing aid is designed for those with mild to moderate hearing loss who want better hearing in a nearly invisible style.

This tiny device fits deep inside the ear canal, making it virtually undetectable while still delivering clear, natural sound. Its custom fit provides comfort and security, allowing you to go about your day with confidence. Though small, it offers advanced sound technology to help you hear speech clearly in quiet or noisy environments. Invisible-in-canal hearing aids are an excellent choice if you value discretion and a natural listening experience without visible devices.

Completely-in-canal (CIC)

Best for: Completely-in-canal hearing aids are ideal for those with mild to moderate hearing loss seeking a discreet, comfortable solution.

These small devices fit entirely inside the ear canal, making them nearly invisible while delivering natural, clear sound. Custom-molded for each user, CIC hearing aids provide a secure fit and reduce wind or background noise for better clarity in conversations. Perfect for people who want minimal visibility without compromising hearing performance, they help you stay connected in everyday life with ease and confidence.

In-the-canal (ITC)

Best for: In-the-canal hearing aids are designed for those with mild to moderately severe hearing loss who want a balance of discretion and functionality.

Sitting partly in the ear canal with a small portion visible in the outer ear, ITC devices are slightly larger than CIC or IIC models, allowing for more features such as volume controls and directional microphones. They provide clear, natural sound while remaining relatively discreet, making them a popular choice. Custom-fitted for comfort, ITC hearing aids help improve speech understanding and keep you connected to conversations in various environments.

In-the-ear (ITE)

Best for: In-the-ear hearing aids are ideal for individuals with mild to severe hearing loss who want a comfortable, easy-to-use solution.

These devices fill the outer ear and house larger batteries and more advanced features than smaller styles, including volume controls, directional microphones, and Bluetooth connectivity. ITE hearing aids provide powerful amplification while remaining discreet enough to wear each day. Custom-molded for a secure fit, they deliver clear, natural sound and help you stay connected in conversations, whether at home, work, or social gatherings.

Receiver-in-canal (RIC)

Best for: Receiver-in-canal hearing aids are a versatile choice for individuals with mild to severe hearing loss who want a discreet, comfortable device with advanced performance.

The receiver sits in the ear canal while the main body rests behind the ear, allowing for powerful amplification, reduced feedback, and improved sound quality. RIC hearing aids often include features like directional microphones and wireless connectivity, making it easier to follow conversations in noisy environments. Custom-fitted and lightweight, they provide natural sound and enhanced clarity for everyday listening.

Behind-the-ear (BTE)

Best for: Behind-the-ear hearing aids are ideal for individuals with moderate to profound hearing loss who need powerful amplification and advanced features.

The main body rests comfortably behind the ear, while a custom earmold directs sound into the ear canal. BTE devices can accommodate larger batteries, offer stronger volume and amplification, and include features like directional microphones and Bluetooth connectivity. Durable and versatile, they provide clear, natural sound across a variety of listening environments, helping you stay connected and confident in daily life.

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How to determine the degree of hearing loss

Knowing your degree of hearing loss is the first step toward finding the right hearing solution. A professional hearing test, typically conducted by an audiologist or hearing care specialist, measures how well you hear sounds at different pitches and volumes. Results are usually categorized as mild, moderate, moderately severe, severe, or profound hearing loss, helping guide recommendations for hearing aids or other assistive devices. Regular testing ensures changes in your hearing are detected early, so you can maintain clear communication and protect your overall hearing health. Book your free hearing test at your local Miracle-Ear store today.

Sources

1National Association of Hearing Care Professionals. “Do I Need Hearing Aids? When to See an Audiologist.”https://audiologists.org/resources/treatment/do-i-need-hearing-aids. Accessed 31 Oct. 2025.

2Hearing Industries Association. (n.d.). Degrees of hearing loss. Retrieved November 3, 2025, from https://www.betterhearing.org/your-hearing-health/degrees-of-hearing-loss/ Better Hearing

3American Speech‑Language‑Hearing Association. (2021). Type and severity summary of identified cases of hearing loss (by ear): 2021 data [Report]. U.S. Department of Health & Human Services, Centers for Disease Control and Prevention. Retrieved from https://archive.cdc.gov/www_cdc_gov/ncbddd/hearingloss/2021-data/12-type-and-severity.html

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