A frequent question from patients pertains to the ability to hear in crowded places. When they are talking to people one-on-one, or in small groups of people there is no problem, and they seem to hear just fine. But when they find themselves in a large crowd they often find it very difficult to understand what the people speaking to them directly are saying, or even to hear their voices over the background noise. The same people that have difficulty with crowds, will often also express that they find it challenging to hear and distinguish certain consonants especially S, H, and F.

If these challenges sounds familiar to you, it is possible that you have a degree of hearing loss in the high-frequency range. When describing human speech, hearing instrument specialists define the 3000 to 8000 Hz range as high-frequency. This is the range that the H, F, and S sounds typically fall into. In crowds, there is a mix of frequencies, ranging from the low frequencies of background music or people walking or dancing to the higher frequencies of human speech. Those suffering from high-frequency hearing loss tend to perceive the low-frequency sounds (which in this case qualify as noise) as sounding louder than the high-frequency sounds they are trying to focus on – the voices of people speaking to them.

High-frequency hearing loss is common, afflicting at least 18 percent of the population. The most common cause of this is aging, but in recent years hearing instrument specialists have found increasing numbers of teenagers and young adults suffering from it, possibly as a result of listening to overly loud music. There are other potential causes, including genetic factors, diabetes, exposure to toxic drugs such as chemotherapy agents, and other diseases.

If you are having trouble hearing in crowds and the reason turns out to be high-frequency hearing loss you’ll be glad to know that this can be treated. Hearing aids can be adjusted to amplify the higher frequencies and suppress lower frequencies, with the result that you can hear voices better in crowded rooms.

If you have trouble hearing in crowds, your first step should be to make an appointment with one of our specialists, so that we can determine whether you have suffered some form of hearing loss. Our specialists can perform tests to determine whether your problem hearing in crowds is really related to hearing loss, or whether it might arise from other causes.

The site information is for educational and informational purposes only and does not constitute medical advice. To receive personalized advice or treatment, schedule an appointment.
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