Hearing Loss and Mild Cognitive Impairment: What to Know


How to Get Help for Hearing Loss

Research suggests that only about 1 in 7 people who could benefit from a hearing aid use one. But getting tested and treated may help keep your brain healthy for longer.

 Here’s what to do.

Talk to your doctor. “Hearing evaluations should be a routine part of preventive healthcare as we get older,” says Yang.

When memory is a concern, hearing is worth checking early, she says. “It can be an important and treatable cause of memory changes.” It doesn’t have to be complicated: In her own clinic, Yang rubs her fingers beside a patient’s ears (with their eyes closed) as a quick hearing check, even for people without hearing concerns.

Get your hearing tested. People who eventually use hearing aids wait 10 years, on average, before getting help. During that time, communication with loved ones gets harder, and isolation and health risks increase.

Hearing loss is one of the most modifiable risk factors for cognitive decline, says Sydlowski. “If you identify it early, that also means that you can start managing it,” she says.

A health checkup can rule out treatable causes, such as earwax buildup or an infection, and an audiologist can test your hearing and check the fit of the hearing aid and program it for you.

Be willing to try hearing aids. Hearing aids have come a long way from the bulky devices of the past; today’s models are smaller and less noticeable.

Some are rechargeable or connect to your phone with Bluetooth, and adults 18 and older with mild to moderate hearing loss can buy them without a prescription. They cost from about $1,000 to several thousand dollars, and those that don’t require a prescription tend to cost less.

“It’s not about the brand, it’s not about the features; it’s about using a device that’s appropriate for the type and degree of hearing loss that you have,” says Sydlowski.

Don’t give up if the first option doesn’t work. Sydlowski recommends taking notes at first: what is working well, where you still struggle, and specifics about when and how.

Many people abandon their hearing aids after a period of frustration or disappointment without ever checking back in with their audiologist, she says. “If they don’t know what you’re experiencing, then they can’t make it better,” says Sydlowski.

Even agrees, saying, “Don’t assume that a disappointing first experience means hearing aids cannot help.” If you have memory problems, a family member or caregiver can help at appointments and with daily use, he says.

If hearing aids aren’t enough, ask about a cochlear implant, a device composed of an external microphone, processor, and transmitter, and internal electrodes that are surgically placed inside the cochlea, a structure in the inner ear that’s involved in hearing.

“People assume you have to have significant hearing loss to benefit from these devices, which is no longer true,” says Sydlowski. Only a fraction of the people who could benefit have one, she says.

Practice good hearing hygiene. Long or repeated exposure to sounds at or above 85 decibels can cause permanent hearing loss, because human hair cells in the inner ear don’t grow back. If you can’t avoid loud places, wear earplugs or other protective devices. When possible, move away from the noise.

Find ways to stay socially engaged. Rather than avoiding social situations, Sydlowski recommends finding ways to take control and make them work for you.

For example, where you sit can make a big difference in a noisy restaurant. She suggests choosing a table along the edge of the room, with your back to the wall.

Even says to face the person you’re talking with and ask them to face you, reduce competing noise when you can, and move somewhere quieter for important conversations.

“The goal is not perfect hearing in every environment. It’s to keep communication working well enough that hearing loss doesn’t become an additional barrier to staying engaged in conversations, activities, and relationships,” says Even.



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