This test is done to detect or monitor hearing loss.
There are no major complications associated with this procedure.
What to Expect
Prior to Test
Your audiologist may ask you:
When your hearing difficulty began
If it affects one ear or both ears
If you hear ringing in your ears
If you have ever had pain or discomfort in your ears
If there has been any recent drainage from your ears
If you have ever had ear infections
If you have ever had an ear injury
If you have ever had ear surgery
If you ever have dizziness
If there is a family history of hearing loss
If you are exposed to a lot of noise at work
If you often ask people to repeat themselves
If others have commented that your television is too loud or that you speak too loudly
If it is hard for you to understand a conversation when you are in a large group or a noisy place
If your child is being tested, the audiologist may ask about:
Difficulties with speech and language development
Other developmental issues
Difficulty in school
Family history of permanent childhood hearing loss
Your child’s responses to both familiar and unexpected sounds
Your audiologist will likely:
Examine the outer ear for deformities
Examine the ear canal and eardrum with an otoscope, which is a hand-held instrument that has a light and a magnifying lens
Description of Test
There are several types of audiometry, including:
For Adults and Older Children
Pure Tone Audiometry
This test usually takes place in a soundproof booth. You will put on headphones that are connected to an audiometer. This device sends sounds of different volumes and pitches to 1 ear at a time. You will be asked to respond each time you hear a sound. You may be asked to respond by raising your hand.
You may also be asked to wear a special instrument called a bone oscillator. It is worn behind each ear. The device sends sounds as vibrations directly to the inner ear. You will again be asked to respond each time you hear a sound.
You will wear special headphones. You will hear simple, 2-syllable words. Words will be sent to 1 ear at a time at different volume levels. You will be asked to repeat each word or point to a picture.
Impedance Audiometry (Tympanometry)
A probe is inserted into your ear. The device changes the air pressure in your ear and emits sounds. The test measures how much your eardrum moves in response to the air pressure change and the sounds. It can help determine how well the middle ear is functioning and if there is fluid in it.
For Infants and Toddlers
Babies are watched to see how they react to certain sounds.
Visual Reinforcement Audiometry
Children are taught to look toward the source of a sound.
Conditioned Play Audiometry
Older children are given a fun version of the pure tone audiometry test. Sounds of varying volume and pitch are sent through headphones to one ear at a time. Children are asked to do something with a toy each time they hear a sound. They may be asked to drop a block in a bucket.
Newborns and young infants may have brain stem auditory response testing. A sound is sent through headphones to one ear at a time. The response is measured using electroencephalogram (EEG) recordings over the
Your test results are recorded on an audiogram. This is a chart or graph that shows the softest sounds you can hear. The audiologist will explain your test results.
How Long Will It Take?
Testing times vary. A first screening may take only 5-10 minutes. A more detailed hearing test may take up to an hour.
Will It Hurt?
There is no pain associated with these tests.
Your doctor will talk to you about treatment options if your test results confirm that you have hearing loss.
Call Your Doctor
Call your doctor if any of these occur:
You experience continued or severe lightheadedness
You notice additional hearing loss
You experience pain
If you think you have an emergency, call for emergency medical services right away.
Brender E, Burke A. Audiometry. JAMA. 2006;295(4):460.
Hearing assistive technology. American Speech-Language-Hearing Association website. Available at: https://www.asha.org/public/hearing/treatment/assist_tech.htm. Accessed August 24, 2018.
Hearing screening and testing. American Speech-Language-Hearing Association website. Available at: https://www.asha.org/public/hearing/testing/assess.htm. Accessed August 24, 2018.
Types of hearing tests. Cincinnati Children’s website. Available at: https://www.cincinnatichildrens.org/health/h/hearing-tests. Updated April 2016. Accessed August 24, 2018.
What is an audiogram? Baby Hearing—Boys Town National Research Hospital website. Available at: https://www.babyhearing.org/what-is-an-audiogram. Accessed August 24, 2018.
Last reviewed May 2018 by
EBSCO Medical Review Board
Marcin Chwistek, MD
Last Updated: 8/24/2018
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