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Elderly man with gray hair outdoors, highlighting his ear, with a blurred background in natural light.

Types of hearing loss

There are 3 overall types of hearing loss: sensorineural, conductive, and mixed hearing loss.
In treating hearing loss, it is important to understand the differences in order to determine the best treatment option.

What are the main types of hearing loss?

The main types of hearing loss are differentiated based on which part of the ear is damaged:

  • Sensorineural hearing loss caused by damage to the inner ear or hearing nerve. This prevents the damaged area from properly transmitting sound to the brain.
  • Conductive hearing loss is caused by damage in the external and / or middle ear and, in most cases, it is medically treatable.
  • Mixed hearing loss - In some cases, both aspects of sensorineural and conductive hearing loss are present; this is referred to as mixed hearing loss.

Degree of hearing loss

Heart-shaped diagram illustrating the common causes of hearing loss, divided into conductive hearing loss (foreign objects, earwax accumulation, bone growth) and sensorineural hearing loss (loud sounds, drugs and medication, aging), with overlapping causes including head trauma, virus or infection, and genetic disease.
Woman wearing headphones holding a response button during a hearing test.

Do you think you have hearing loss?

Complete the steps below. Use the form below or quote the 'Audika' website when booking your appointment. All fields required.

Question 1 – Around the table
Do you have trouble following conversations, when there are 4 or more people present?
Have you received advice from your family or friends to get your hearing tested?
Do you ever struggle to understand what others are saying because you cannot hear properly?
Do you find yourself turning up the TV or radio even when the volume is loud enough for others?

Your Result:

A hearing test is relevant for you

Your answers indicate that you experience symptoms of hearing loss. We strongly recommend booking a hearing test in one of our clinics. 

Book your free hearing test:

The result is an indication. An in-person hearing test can determine if you have a hearing loss.

Your Result:

A hearing test seems relevant for you

Your answers indicate that you experience some symptoms of hearing loss. We recommend booking a hearing test in one of our clinics. 

Book your free hearing test:

The result is an indication. An in-person hearing test can determine if you have a hearing loss.

Your Result:

It cannot be determined here if a hearing test is relevant for you

Your answers do not indicate that you experience symptoms of hearing loss. However, if you experience trouble hearing, we recommend booking a hearing test in one of our clinics.

Book your free hearing test:

The result is an indication. An in-person hearing test can determine if you have a hearing loss.

Step 1 of 5

Sensorineural hearing loss

Sensorineural hearing loss (or sensorineural deafness) is the most common type of hearing loss. When experiencing sensorineural hearing loss, sounds may be unclear or difficult to hear. Voices in conversation may be distorted, and it may seem like others are mumbling.

Causes of sensorineural hearing loss

Treating sensorineural hearing loss
This type of hearing loss is often treated with hearing aids.

Sensorineural hearing loss

Elderly man enjoying the outdoors with sunlight and greenery in the background

Conductive hearing loss

Conductive hearing loss is usually a result of a disruption to the sound's path as it travels from the outer / middle ear to the inner ear.

Causes of conductive hearing loss
This type of hearing loss can also be caused by an obstruction in the ear canal, such as ear wax or liquid preventing sound from reaching the ear drum.

Treating conductive hearing loss
Treatment for conductive hearing loss includes: ear wax removal, medical treatments, and surgical treatments.

Conductive hearing loss

A healthcare professional examines an older adult’s ear using an otoscope, likely during a hearing test, within a clinical setting associated with Audika hearing care services. No visible text.

How to describe hearing loss

 - High or low-frequency: Indicates whether you are unable to hear high or low-pitched sounds (i.e. high frequency hearing loss means you cannot hear high-pitched sounds)

High frequency hearing loss 
Low frequency hearing loss 

- Unilateral or bilateral: Indicates whether one (unilateral) or both (bilateral) ears are affected by hearing loss
Bilateral hearing loss
Unilateral hearing loss

- Progressive or sudden hearing loss: Indicates whether the hearing loss happens quickly or gradually over time

- Acquired or congenital: Indicates whether your hearing was present at birth or acquired at a later stage in life

Audiogram chart showing hearing levels for the ’left ear (blue X)’ and ’right ear (red O)’ across frequencies (125Hz to 8000Hz). The graph indicates mild to profound hearing loss, with text labels for ’Normal hearing,’ ’Mild hearing loss,’ ’Moderate hearing loss,’ ’Severe hearing loss,’ and ’Profound hearing loss’ across shaded sections. Loudness is measured in decibels (dB) on the vertical axis, and frequency (Hz) is on the horizontal axis. Suitable for understanding results from a hearing test conducted at a hearing clinic or audiologist’s office.
Man holding his ear, indicating discomfort from tinnitus.

Tinnitus: ringing in the ears

Tinnitus is a ringing, buzzing, whistling, roaring, hissing sound in the ear that only you can hear. Tinnitus affects 15-20% of people, and it is very often one of the first signs of hearing loss.

The most common cause is exposure to excessive noise, which damages the tiny hair cells in the inner ear. The sound of tinnitus is the result of your brain trying to compensate for the loss of hair cells. The brain misinterprets the reduced signals from the ear, resulting in a perception of sound, or tinnitus.

Online Tinnitus Quiz Tinnitus
Hearing care professional wearing a blue blouse with a light green circular background.
Diem Smith - Clinician

BSc, M.Aud (Hons), MNZAS, CCC

Diem graduated from the University of Auckland in 2000 and began her career in the public sector at the National Audiology Centre.  She then went on to work in London at a specialist paediatric hospital for 2 years.

On her return to New Zealand Diem worked for a hearing aid manufacturer for 5 years as a sales and product support audiologist before a move to the Bay of Plenty where she worked with adults and children for 5 years at a private clinic in Whakatane. This clinic also provided public hospital audiology support for the Eastern Bay of Plenty.  

Diem has now been with Audika for the past 10 years in various roles, one of which was Clinical Trainer where she enjoyed being able to support her fellow clinicians to provide quality hearing care for all Audika clients. During this time, Diem was also on the NZAS Executive Council for two years. Her many years of experience and well-honed skills has allowed her to help reconnect her clients with their family and loved ones on their hearing journey.

 
 
 

Last reviewed 2025-07-01