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Audiogram

An audiogram is a graphical representation of your hearing thresholds at different frequencies of the speech spectrum.

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What is an audiogram?

Audiograms are created during a hearing assessment by mapping the softest sounds able to be heard allowing clinicians to pinpoint the nature of a person’s hearing loss, whether it’s conductive, sensorineural, or a mix of both conductive and sensorineural. 

An audiogram is not just a diagnostic tool but a gateway to helping you achieve better hearing outcomes. By interpreting the results of an audiogram, together with other tests and a detailed understanding of your hearing needs, Audika’s clinicians can tailor an appropriate hearing solution for you, ensuring that you can reconnect with the sounds that matter most.

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How is an audiogram created during a hearing test with a clinician?

First, our clinician will take you into a sound-treated room to conduct a hearing assessment. This ensures the test results are as accurate as possible and not prone to noise interference.

During the hearing assessment, you'll wear a pair of headphones or earphones. The clinician will then play a series of sounds, one ear at a time. These sounds vary in pitch (frequency, Hz) and loudness (decibels, dB). You will then be asked to press a button every time you hear a sound, even if it's very faint. This enables the clinician to record the softest sounds you can hear at each frequency. This data is then plotted on a graph – your audiogram.

The clinician will then review the audiogram and discuss the results with you. If there is hearing loss, the clinician will discuss the type of hearing loss it is – conductive, sensorineural, or mixed – and management options. Other diagnostic tests like speech or eardrum pressure tests may also help to develop an individualised management plan for you.
 
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Understanding your audiogram

The audiogram is a chart that displays the results of your hearing evaluation.

The chart contains an X-axis and a Y-axis. The X-axis shows the different pitches of the sounds that were played to you during your hearing test.

This axis is laid out like piano keys, where low-pitched sounds are on the left and higher pitches are on the right of the graph.

The Y-axis shows the loudness which increases as you go down the graph. The points on the graph show how loud the sounds needed to be for you to hear at each pitch.

Circles (red) are used to symbolise your right ear and crosses (blue) are used to symbolise your left ear.

The horizontal axis (X axis) measures the frequency in Hertz (Hz). This axis is laid out like piano keys, where low-pitched sounds are on the left and higher pitches are on the right of the graph.

The vertical axis (Y axis) on the audiogram represents the hearing loudness in Decibels for Hearing Loss (dB HL). The more one moves down the axis, the louder the sound becomes. The points on your audiogram (not pictured) show how loud the sounds needed to be for you to hear at each pitch.

audiogram
The icons on the graph indicate the average loudness and frequency (pitch) of certain sounds. For example, distant birds tweeting is more likely to represent soft, high pitch sounds. The white banana-shaped area on the graph represents the average speech spectrum when heard from 1 meter away. Consonants are particularly important components of speech as they tend to carry the meaning behind words. Depending on the hearing loss, certain speech sounds will be more difficult to hear than others. For example, someone with a high frequency hearing loss is more likely to struggle with ‘t’, ‘th’, ‘s’ sounds. This means words like ‘that’ or ‘sat’ could be misheard as ‘cat’ or ‘fat’, because the consonants are missing, and our brain will try to substitute the sound to make sense of the word. This explains why individuals with a hearing loss often feel that people mumble; because they can hear the speech, but they cannot hear it clearly. 

The lines on your audiogram indicate the softest sounds you can hear (not pictured). Everything above your threshold line is no longer within your hearing range. Anything below the 20dB HL line on the graph (louder decibels) indicates a significant hearing loss.

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Who should get a hearing check and receive an audiogram?

People over 50

Hearing loss can affect people of all ages. It is important to have your hearing checked regularly, as you may begin to experience age-related changes to hearing from as early as around 50 years. If you are over 50, it is recommended to have your hearing checked more routinely. Your audiogram will show your hearing thresholds and determine if you have hearing loss, allowing for early intervention, or providing a baseline for future hearing checks. 

Anyone that suspects hearing loss

If you find yourself constantly asking people to repeat themselves, turning up the volume on the TV or radio or struggling to hear conversations, it may be time to have your hearing checked. 

People with ear problems

If you suffer from frequent ear infections, ringing in the ears (tinnitus), or if you have a family history of hearing loss then it is recommended to get a hearing check. The clinician will discuss the results shown on the audiogram with you.

What happens after an audiogram?

After a hearing check with a clinician, they will review the results shown on the audiogram with you, explaining what it means in simple terms. They willl explain if there is any hearing loss and its severity. If hearing loss is detected, your clinician will discuss management options, which may include hearing aids. If your audiogram shows no signs of hearing loss, the clinician will let you know if future hearing checks are required.

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