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I have difficulty hearing in noisy places: What to do if you're struggling to hear with background noise

Kimberley Bradshaw - Head of Online Medical Content for Hearing Aid UK
Written By:
Kimberley Bradshaw

Head of Online Medical Content

Paul Harrison - Audiology Expert at Hearing Aid UK
Medically Reviewed By:
Paul Harrison

Audiology Expert at Hearing Aid UK

Updated and medically reviewed: 16th April 2025
I have difficulty hearing in noisy places

I Have Difficulty Hearing in Noisy Places. Do I have hearing loss?

What to do if you're struggling to hear with background noise

 

Overview    |    Hearing's role and challenges in noise    |    Tips for improving hearing in noise    |    Conclusion

 

Hearing is an important part of our daily lives, allowing us to communicate, stay connected with others, and engage with our environment. For many, hearing loss or difficulty hearing in certain situations can become frustrating and even isolating. One of the most common niggles among those with hearing challenges is the difficulty hearing in noisy places.

Whether it’s at your favourite coffee spot, a crowded pub with friends, or a busy train station, these environments can make simple conversations feel like a struggle. But why does this happen, does it indicate hearing loss, and what can be done about it? 

In this article, we briefly chat about the challenges of hearing loss, its complexities, its role, and how you can hear better amongst the noise.

 

Hearing is complex

Our ability to hear is a complex process. Sound waves travel through the air, enter the ear canal, and vibrate the eardrum. These vibrations are then passed through tiny bones in the middle ear before reaching the cochlea in the inner ear, where they are converted into electrical signals that the brain can interpret.

This process seems straightforward, but when there’s a disruption, whether it’s due to age, illness, or damage, the clarity of sound can alter and shift.  In quiet environments, such as at home or in a quiet office, the brain can more easily distinguish sounds, especially speech. 

However, when there is background noise, the brain has to work much harder to pick out the specific sound you're trying to focus on. This is where many people experience difficulties.

Related reading:  Hearing aids for background noise

 

Why is hearing in noise so challenging?

The challenge of hearing in noisy places is due to a few reasons. First, there’s what is known as auditory masking. In simple terms, when background noise is present, it can mask or obscure the speech you are trying to hear.

The brain finds it difficult to separate the sounds you want to focus on from the noise around you, especially when those sounds are similar in frequency to the background noise.

For example, if you’re in a crowded cafe, the sound of clinking cups and others chatting can interfere with your ability to hear someone speaking directly to you. This is especially true if the speaker’s voice is of a similar pitch to the surrounding noise. As a result, the conversation becomes harder to follow, and the experience can quickly become frustrating.

Another reason for difficulty hearing in noisy environments is a poor signal-to-noise ratio. This term means the difference between the strength of the sound you want to hear and the background noise.

In a loud place, the signal (the voice you want to hear) may be drowned out by the noise, especially if it is soft-speaking. Even for those with normal hearing, this can lead to strained listening and understanding.

Related reading:  How to cope with listening and digital fatigue

 

Hearing loss and its role

While hearing challenges in noisy places can affect anyone, people with hearing loss often find these situations particularly difficult. Age-related hearing loss (presbycusis) is a common cause of difficulty in noisy environments.

As we age, the hair cells in the cochlea gradually deteriorate, affecting our ability to hear higher frequencies and distinguish speech from background noise. This makes conversations in noisy places much more challenging.

Other forms of hearing loss, such as sensorineural or conductive hearing loss, can also make it difficult to hear in noise. People with sensorineural hearing loss often struggle with background noise because their inner ear is less effective at distinguishing sounds.

Similarly, conductive hearing loss, which occurs when there is a problem in the outer or middle ear, can result in poor sound clarity, especially in noisy situations.

 

Tips for improving communication in noisy places

If you have difficulty hearing in noisy places, there are several things you can do that can help improve your ability to communicate and engage with your surroundings.

  • Position yourself better:  When entering a noisy environment, try to position yourself where there is less ambient noise. Sitting with your back to the wall or near a quieter area of the room can help reduce distractions.

Try to face the person you’re speaking with directly, as this allows you to pick up on lip movements and facial expressions that can help with understanding.

  • Check your hearing:  If you're concerned about your hearing, schedule a visit with an audiologist. They can perform a professional assessment to determine how well you're hearing. If any hearing loss is detected, they'll guide you through the best treatment options tailored to your needs.
  • Think about hearing aids:  Hearing aids can be programmed to amplify speech while reducing background noise. Many modern hearing aids are equipped with directional microphones, which focus on sounds coming from in front of you and reduce noise from other directions.
  • Tap into your hearing aid app:  If you already wear hearing aids, use your app for support.  They help reduce background noise by using smart features like directional microphones, personalised sound profiles, and AI-powered filtering to focus on speech and minimise distractions.

Some even let your phone act as a remote mic, bringing clearer sound directly to your ears in noisy settings.

  • Ask for support:  Don’t be afraid to ask for accommodations in noisy settings. For instance, if you’re in a restaurant, ask to be seated in a quieter area. In meetings or work environments, it might help to ask for a written summary or use video conferencing tools that allow for clearer communication.
  • Practice "active listening":  In noisy environments, it’s essential to be proactive about listening. This can include making sure you’re in the best position to hear, focusing on the speaker’s mouth, and getting rid of distractions as much as possible. If you don’t understand something, don’t hesitate to ask the person to repeat themselves or speak more slowly.

 Related reading:  Communication strategies for those with hearing loss

 

Conclusion

Hearing in noisy places can be a challenge for many people, particularly for those with hearing loss. While the complexity of hearing and the nature of background noise can make it difficult to distinguish speech in crowded environments, there are ways to improve communication.

Those with hearing challenges can navigate noisy situations more effectively by using assistive technology, wearing hearing aids, making strategic seating choices, and practising active listening. With the right support, it’s possible to maintain a rich and rewarding social life, even in the noisiest of places.

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Paul Harrison
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I can't hear in noisy environments very well

Do I have hearing loss?

If you’re struggling to hear in noisy environments, it’s a smart idea to get your hearing checked by a professional audiologist. We offer free hearing assessments, either in a clinic or from the comfort of your own home.

And if you already wear hearing aids but are still having trouble, your hearing may have changed. A re-test or re-programming with your own audiologist could make all the difference. 

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Is this the best hearing aid model for me?

If you are looking at this page then it is likely that an audiologist has suggested that you purchase this particular hearing aid, so is this the best model for you?

In general, any audiologist will always recommend to you the model that best suits your needs. Here is a useful checklist to make sure that is the case.

  • Audiologist level of knowledge: The audiologist you have seen will hopefully have a wide knowledge of all available hearing aids, however, some will only be familiar with a small number of brands and therefore may not really be in a position to know which model is the best for you. It is OK to challenge their recommendation and ask them to justify why this particular brand is the one for you.
  • Do research: Read about the hearing aid that was recommended. Does it seem like it will suit your lifestyle? Does it have more or fewer features than you need? 
  • Be aware of sales targets: Many high street retailers have specific tie-ins to a particular manufacturer/brand. The hearing aid they have suggested may still be the correct one for you, but do your research so that you know why they might have recommended it.

If in doubt, feel free to give us a call. That's what we're here for.  In the meantime, read all about our review of the best hearing aids for 2025 here

Do I need one hearing aid or two?

If you have significant hearing loss in both ears, you should be wearing two hearing aids. Here are the audiological reasons why:

Localisation: The brain decodes information from both ears and compares and contrasts them. By analysing the minuscule time delays as well as the difference in the loudness of each sound reaching the ears, the person is able to accurately locate a sound source. Simply put, if you have better hearing on one side than the other, you can't accurately tell what direction sounds are coming from.

Less amplification is required: A phenomenon known as “binaural summation” means that the hearing aids can be set at a lower and more natural volume setting than if you wore only one hearing aid.

Head shadow effect: High frequencies, the part of your hearing that gives clarity and meaning to speech sounds, cannot bend around your head. Only low frequencies can. Therefore if someone is talking on your unaided side you are likely to hear that they are speaking, but be unable to tell what they have said.

Noise reduction: The brain has its own built-in noise reduction which is only really effective when it is receiving information from both ears. If only one ear is aided, even with the best hearing aid in the world, it will be difficult for you to hear in background noise as your brain is trying to retain all of the sounds (including background noise) rather than filtering it out.

Sound quality: We are designed to hear in stereo. Only hearing from one side sounds a lot less natural to us.

Fancy some further reading on this topic?  You can read about why two hearing aids are better than one in our article, hearing aids for both ears, here

What are the benefits of rechargeable hearing aids?

For most people, the main benefit of a rechargeable hearing aid is simple convenience. We are used to plugging in our phones and other devices overnight for them to charge up.  Here are some other pros and cons:

For anybody with poor dexterity or issues with their fingers, having a rechargeable aid makes a huge difference as normal hearing aid batteries are quite small and some people find them fiddly to change.

One downside is that if you forget to charge your hearing aid, then it is a problem that can't be instantly fixed. For most a 30-minute charge will get you at least two or three hours of hearing, but if you are the type of person who is likely to forget to plug them in regularly then you're probably better off with standard batteries.

Rechargeable aids are also a little bit bigger and are only available in Behind the Ear models.

Finally, just like with a mobile phone, the amount of charge you get on day one is not going to be the same as you get a few years down the line. Be sure to ask what the policy is with the manufacturer warranty when it comes to replacing the battery.

Looking for more information on rechargeable hearing aids?  Read our dedicated page on the topic here

Are behind the ear aids better than in the ear aids?

For most people, the answer is yes. But it's never that simple.

The majority of hearing problems affect the high frequencies a lot more than the low ones. Therefore open fitting hearing aids sound a lot more natural and ones that block your ears up can make your own voice sound like you are talking with your head in a bucket. Therefore in-ear aids tend to be less natural.

However the true answer is we can't tell until we have had a look in your ears to assess the size of your ear canal, and until we have tested your hearing to see which frequencies are being affected.

People with wider ear canals tend to have more flexibility, also there are open fitting modular CIC hearing aids now that do not block your ears.

There is also the age old rule to consider, that a hearing aid will not help you if it's sat in the drawer gathering dust. If the only hearing aid you would be happy wearing is one that people can't see, then that's what you should get.

Most people can adapt to any type of hearing aid, as long as they know what to expect. Have an honest conversation with your audiologist as to what your needs are.

What are channels, and how many do I need?

Generally speaking, six or more. Unless it's none at all.

The number of channels a hearing aid has is often a simplistic way an audiologist will use to explain why one hearing aid is better than another, but channels are complex and it is really not that straightforward.  Here are some reasons why:

Hearing aids amplify sounds of different frequencies by different amounts. Most people have lost more high frequencies than low and therefore need more amplification in the high frequencies. The range of sounds you hear are split into frequency bands or channels and the hearing aids are set to provide the right amount of hearing at each frequency level.

Less than six channels and this cannot be done with much accuracy, so six is the magic number. However, a six channel aid is typically very basic with few other features and is suitable only for hearing a single speaker in a quiet room. The number of channels is not what you should be looking at, it's more the rest of the technology that comes with them.

As a final note, different manufacturers have different approaches. One method is not necessarily better than any other. For example, some manufacturers have as many as 64 channels in their top aids. Most tend to have between 17 and 20. One manufacturer has no channels at all.

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Hearing aids are easily lost, misplaced or damaged and typically are one of the most expensive personal possessions an individual can own. We offer hearing aid warranty coverage for £80 per year per aid.  Find out more about this service we provide here

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All our audiologists use the very latest technology and provide the full range of tests to accurately measure your hearing for free.  Find out about what hearing healthcare services we offer all our customers here

Do home visits cost extra?

Hearing Aid UK offers all their customers free home visiting services, even in a care home environment, for no extra cost. Including hearing tests, fittings, maintenance, check-ups and much more in the comfort of your own home and at your convenience.  Find out more information about our home visits here

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Other pages you might find useful...

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