Comprehensive Hearing Evaluation:
Understanding Your Hearing Health

Our in-depth initial hearing consultation includes a fully comprehensive diagnostic evaluation, after which we will be able to identify the exact type, severity and cause of your hearing loss as well as a range of recommended treatment options.

Diagnostic Hearing tests are an integral part of your regular check ups. Even though our hearing does not change often, there are a number of environmental and genetic factors that will affect our hearing over time including ear wax.

At Total Hearing Wimbledon, we take hearing seriously and with that in mind we have devised an in-depth hearing assessment so as to comprehensively test your auditory system. This is often much more comprehensive than the screening tests performed by other retailers or clinics and will provide an accurate diagnosis to your symptom.

We offer hearing tests to both adults and children above the age of 6. Please contact us for more information.

Book an Appointment

Making the Journey to Improved Hearing. Together.

Call us on 0207 118 6080 or book an appointment with us

Hearing Tests at Fresh Hearing

What to expect at your appointment

Our indepth consultation will include a comprehensive diagnostic evaluation of your auditory system. This will include the following:

  1. A comprehensive medical and hearing history. Discussing your symptoms and history will help us analyse factors that could be contributing to your hearing difficulties.
  2. Otoscopy – we use a magnified scope to look into your ear to analyse the health of your ear canal. This will let us assess if there are any infections or blockages. If your ears are blocked with wax, we can offer ear wax removal in addition to your hearing appointment. If an infection is detected, we will recommend treatment pathways via a doctor.
  3. Diagnostic Hearing test – Otherwise known as a Pure Tone Audiogram. We will perform testing with state of the art machines in a calibrated and sound proofed room.
  4. Tympanometry – Middle ear compliance checks are an important tool to diagnose any problems with the middle ear. It is also used to analyse the integrity of the eardrum and whether there are any perforations or lesions.
  5. Speech in Noise testing – This is a very important test which is conducted in order to look at how well you are able to discriminate speech in noise. Please see here for more information.

Once your tests are completed, your audiologist will compile all the information collected and provide a full explanation of the results. In addition, they will also look at the best solutions for you and if onward referrals are required, they will write to your doctor.

If the results of your tests suggest that you’re a good candidate for hearing aids, we’ll talk to you about the latest technology available and how we can ensure the hearing aids are tailored to your specific needs. 

Hearing Tests

Frequently Asked Questions

How long will my appointment last?

In order to perform all the tests, we recommend that you set a side 60 mins so we can assess you thoroughly.

How do I know I need a hearing test?

Hearing tests is an integral part of your regular check ups and should be done at least once a year. In addition, it is important to have your ears tested if you have any of the following symptoms

  • Ringing in your ears
  • Pain
  • Fluctuating hearing
  • Struggling to hear conversation
  • Asking people to repeat themselves
  • Blockage in one ear or both

What is the difference between your assessment and a free hearing test?

There is a very large difference between the two. Free hearing tests are generally a means of selling hearing aids and hence only a screening Pure tone Audiogram is performed. Our comprehensive assessment is used to get a full picture of your hearing and help provide an accurate diagnosis. This could range from a simple wax blockage to certain diseases such as Meniere’s. The assessment has been designed to test the different parts of your auditory system so we can diagnose where your symptoms may be coming from.

What are the different parts of the auditory system and how do you test them?

There are 4 key parts to our auditory system

  1. Outer ear canal – This is the passage from the pinna ( external ear) up to the eardrum. Otoscopy or video otoscopy is used to assess the state of the canal and analyse its health. Through this, we can look at whether there are any infections or blockages .
  2. Middle Ear – The middle ear comprises the three smallest bones found in our body( ossicles). It is sealed from the outer ear canal by the eardrum and is aerated via the eustachian tube. Tympanometry is used to look at the health of the middle ear and eardrum. Through this, we can diagnose any abnormal pressure, or middle ear infections which are not visible through otoscopy. Tympanometry can also help assess
  3. Inner Ear – The inner ear comprises the cochlea (Hearing system) and semicircular canals ( Balance system). We use Pure tone audiometry to test the sensitivity of our hearing. This helps us assess whether there is damage within the cochlea and if so, what frequencies have been damaged
  4. The Auditory cortex and the Neural Network – There is compelling evidence to show that over time the neural network supplying the auditory cortex changes as your hearing changes. There is also a lot of compelling evidence to state that individuals who have a normal hearing test may not always hear normally. This is due to a condition called auditory processing disorder or auditory neuropathy. Speech in noise (SiN) discrimination is a very good tool used to help assess the state of your Auditory cortex and the neural network supplying it.

The reason I can’t hear is because everyone mumbles

This is often the most common statement we see in our hearing assessments. As our hearing deteriorates very slowly over time, often it is very difficult to know exactly when it started. It’s very common for family and friends to notice the signs before you do. This is why hearing tests are an integral part of your regular check ups.

Do I Need Hearing Aids?

Once your assessment is complete, your audiologist will explain your results. If a hearing loss has been identified, you may be a good candidate for hearing aids. As there are numerous different models of hearing aids, your specialist will be able to help guide you in choosing the best hearing aid.

As an independent clinic in London, we do not have affiliations to a certain hearing aid manufacturer and hence, have access to the all leading manufacturers. Our recommendations are always centred around your individual needs and the solutions are tailored for you.

How often should I get a hearing test?

We recommend that if you are below the age of 50, you require a hearing test every 2 years. If above the age of 50, we recommend a yearly hearing test. Additionally, if you are frequency exposed to loud noise or taking ototoxic medication, we recommend a hearing test once a year, regardless of your age.

What can I do to look after my ear?

1. Give up cotton buds

Using cotton buds to clean your ears often causes more problems. You can often cause damage or irritation to your ear canal and there is a serious chance of causing deep wax impaction which can be very uncomfortable.

2. Avoid prolonged exposure to loud noise

Loud noise exposure will damage your hearing over time. It is important to either limit your exposure or use adequate ear plugs when in these environments for extended periods. You can would like to look at custom products, please get in touch.

3. Test your hearing on regular basis

A regular hearing test will be able to track any changes in your hearing over a period of time.

What should I do if I notice a sudden change in my Hearing?

Visit an audiologist urgently if the reduction in hearing persist for longer than 12 hours. If you do not have access to an audiologist, we would recommend either making an urgent appointment with your GP or visiting A&E.

Some of the most common telltale signs of hearing loss include watching the television with the volume turned up too high for other people, struggling with conversation if there’s any background noise and difficulty speaking on the phone.

Hearing loss happens slowly over time which makes it very difficult to know exactly when it started. It’s common for friends and family to notice the signs before you do so they may occasionally hint that you’re having trouble hearing