*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or view any of our Previous A to Z Features.

You should also know that OutUK has produced a special report about: Coronavirus Covid-19.

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This Week - H : Hearing Loss

Hearing loss is common, particularly as you get older. See a GP if you have problems with your hearing. It could be caused by something that can be easily treated.

Signs of hearing loss

It's not always easy to tell if you're losing your hearing.

Common signs include:

difficulty hearing other people clearly and misunderstanding what they say, especially in noisy places
asking people to repeat themselves
listening to music or watching TV with the volume higher than other people need
difficulty hearing on the phone
finding it hard to keep up with a conversation
feeling tired or stressed from having to concentrate while listening

Sometimes someone else might notice problems with your hearing before you do.

Causes of hearing loss

There are lots of possible causes of hearing loss. It may be caused by something treatable or it may be permanent.

Your symptoms may give you an idea what could be causing it. But do not self-diagnose, see a GP for advice.

Symptoms	Possible cause
Gradual hearing loss in both ears	Aging or damage from loud noise over many years
Difficulty hearing in 1 ear, earache, a feeling of pressure in your ear, discharge coming out of the ear	Ear infection
Difficulty hearing in 1 ear, itchiness, feeling like your ear is blocked	Earwax build-up
Sudden hearing loss after an ear infection, a very loud noise or a change in air pressure (for example, from flying)	Perforated eardrum
Sudden hearing loss along with dizziness, a spinning sensation (vertigo) or ringing in your ears (tinnitus)	Labyrinthitis or M?ni?re's disease

See a GP if:

you think your hearing is getting gradually worse
you've had treatment for an ear infection or earwax build-up but your hearing has not come back

You can also sometimes get a free hearing test at some pharmacies and opticians.

Ask for an urgent GP appointment or get help from NHS 111 if:

you have sudden hearing loss in 1 or both ears
your hearing has been getting worse over the last few days or weeks
you have hearing loss along with other symptoms, such as earache or discharge coming out of the ear

It might not be anything serious, but it's best to get help as it may need to be treated quickly.

You can call 111 or get help from 111 online.

Online hearing test

Check your hearing with the RNID's free online hearing test

Treatments for hearing loss

Treatment for hearing loss depends on what's causing it.

Sometimes a GP may be able to treat the cause, for example:

an ear infection might be treated with antibiotics
an earwax build-up might be treated with ear drops or removed

If your hearing loss is not caused by something a GP can treat, they may refer you to a hearing specialist for further tests and treatment.

Hearing aids and implants

If you have permanent hearing loss, a specialist will often recommend hearing aids. These will not make your hearing perfect, but they make sounds louder and clearer.

Some people may need a hearing implant. These are devices that are attached to your skull or placed deep inside your ear.

Find out more about hearing aids and implants

Things you can do if you have hearing loss

If you have hearing loss, there are things you can do to help you communicate with others and avoid more damage to your hearing.

Do

reduce background noise or move to a quieter area when talking to other people
face people when they're talking to you, so you can see their mouth, facial expressions and gestures
ask people to repeat themselves, speak more slowly or write things down if you need to
wear ear protection when exposed to loud noises

Don't

do not listen to music too loudly - the volume should be just high enough for you to hear it comfortably
do not put your fingers or any objects like cotton buds in your ears, even if you think they might be blocked

More advice from RNID

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We'll have more information and advice next week on another topic in our A to Z of Gay Health. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this week's subject you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
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