August 30, 2022 Age related deafness is also called presbycusis . This is hearing loss caused by degenerative changes that occur with aging both in the auditory pathways and in the cerebral cortex. Presbycusis is estimated to affect approximately 25% of the American population aged 65-75 and 38% of the population over this age. Presbycusis is progressive , affects both ears and is multifactorial . It usually affects the high frequencies of hearing (sharp sounds) and may be accompanied by tinnitus, vertigo and/or imbalance. Some people report they maintain the ability to hear speech, but have difficulties in understanding, which is due to the loss of information of consonant sounds. Hearing difficulty is exacerbated by background noise and screaming can be very uncomfortable for people affected. Several factors can accelerate age related hearing loss , such as: Ear infections; Use of antibiotics Use of anti-inflammatories; Arterial hypertension; Diabetes; Hormonal disorders; Smoking (important enhancer). Hearing loss can affect daily activities such as watching television, listening to music, talking on the phone, as well as social relationships in general. It can lead to progressive social isolation and depression, especially when other functional limitations are also present. It can have a huge impact on the quality of life and social relationships of millions of elderly people. Family support is essential. There are options that can mitigate and compensate the hearing difficulty. The otorhinolaryngologist is able to diagnose hearing loss, identify its causes and indicate the best options for alleviating auditory communication difficulties. When to see an otolaryngologist Among the signs that you should seek the care of an otolaryngologist are: Difficulty understanding speech without looking at the interlocutor; Difficulty talking in noisy environments; Discomfort with loud sounds; Ringing in the ears. This article was written by the Hospital da Luz otorhinolaryngology team. The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.