What to expect
Your appointment, step by step
Clinical assessment
Components of the hearing assessment
Video otoscopy
The ear canal and tympanic membrane (eardrum) are examined using a video otoscope. Images are displayed on screen, allowing the patient to see any wax, inflammation or other findings.
Pure-tone audiometry
Hearing thresholds are measured through headphones. The test records the quietest sound detected at each frequency, from low to high pitch, in each ear.
Speech-in-noise testing
This test assesses speech understanding in the presence of background noise, representative of everyday settings such as restaurants and social gatherings.
Audiogram and results
Results are recorded on an audiogram and explained in full during the appointment. The patient receives a written copy for their records.
Where the examination identifies a build-up of wax, ear wax removal options are discussed at the appointment. Where the results indicate a hearing loss, the clinician explains how hearing aids may help. There is no obligation to make a decision on the day.
Signs to look out for
When should you get tested?
- Asking people to repeat themselves often
- Turning the TV or radio up louder than others prefer
- Struggling to follow conversation in busy or noisy places
- A feeling of fullness, ringing, or muffled hearing
- You just want to know where you stand
Not ready to book yet?
Try our free 2-minute hearing check online first. No headphones needed.
Clinical information
What is tinnitus?
Tinnitus is the perception of sound in the absence of an external source. It is commonly described as ringing, buzzing, humming or hissing, and may affect one or both ears. It can be continuous or intermittent.
Tinnitus is frequently associated with hearing loss. Other common contributing factors include ear wax impaction, middle ear infection and prolonged exposure to loud noise. A full audiological assessment establishes whether an underlying hearing loss is present. Where findings indicate the need for medical investigation, patients are advised to consult their GP.
NHS guidance recommends consulting a GP if tinnitus is persistent, worsening, or affecting sleep or concentration. Pulsatile tinnitus, which beats in time with the heartbeat, and tinnitus following a head injury or accompanied by sudden hearing loss, require prompt medical assessment.
Hearing test FAQ
Questions people ask
What happens during a hearing test?
We'll ask about your hearing history, examine your ears, and carry out a pure-tone audiometry test in a quiet room measuring your hearing across different pitches and volumes. The appointment usually takes 60 to 90 minutes.
Is the hearing test painful or uncomfortable?
No, it's painless. You'll wear headphones and respond when you hear a sound.
How will I get my results?
We explain your results in plain English straight after the test, show you your audiogram, and talk through what, if anything, we'd recommend, with no pressure to buy.
Do you offer hearing tests for people near Monmouth?
Yes. While our clinic is based in Chepstow, we regularly see clients travelling from Monmouth, and can arrange home visits for anyone who finds travelling difficult.
How often should I get my hearing tested?
We recommend a baseline test from age 50, then every 1 to 2 years, or sooner if you notice changes.
Can a hearing test tell me if I need hearing aids?
Yes. Your results show the type and degree of any hearing loss, helping us advise honestly on whether hearing aids would help.
Do I need to bring anything?
A list of any current medications and, if you've had one, your most recent hearing test results. No referral needed.
Is the hearing test suitable for older adults?
Yes, we regularly test older clients and can adapt our pace and approach. Family members or carers are welcome to join.