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Audiology Expert

Overview | What is inside your hearing aid? | Parts on the outside of your hearing aid | Daily care and upkeep | Conclusion
Last Hearing Aid UK Update: 15
Hearing aids today are like advanced mini-computers made just for your ears. You don't need to be a tech expert to use them well, but knowing the basic parts of your device will help you keep it in good shape and figure out what's wrong when it breaks.
This guide focuses on Receiver-in-Canal (RIC) hearing aids, the most widely prescribed style in the UK. You may also see them referred to as Receiver-in-the-Ear (RITE) or Receiver-in-Ear (RIE), depending on the manufacturer, but they are all the same thing. Most of the care and maintenance advice here applies to other hearing aid styles, too.
The microphone picks up sound from your surroundings and feeds it into the hearing aid's processing chip. Modern chips are remarkably good at distinguishing speech from background noise, which makes a real difference in busy environments like restaurants or family gatherings.
That sound is then converted into electrical signals and amplified to match your hearing loss. The exact amplification settings are programmed by your audiologist after a full hearing test, which is why a professionally fitted hearing aid will always outperform anything bought off the shelf.
Most hearing aids run on either rechargeable lithium-ion batteries or small disposable zinc-air batteries. Which you choose comes down to personal preference, dexterity, and lifestyle. Your audiologist will help you decide what suits you best.
Many hearing aids also include a telecoil, sometimes called a t-coil. This small coil picks up the magnetic signal broadcast by hearing loop systems, which are installed in many theatres, places of worship, GP surgeries, and lecture halls across the UK.
When you switch to the telecoil programme, background noise drops away, and the speaker's voice comes through much more clearly. Look for the hearing loop symbol at venues to know when it is available.
The casing: The protective case comes in a range of sizes and colours, including several skin tones to match your tastes. Different manufacturers and models have different sizes. Some devices fit completely inside the ear canal, so you can't see any parts on the outside.
Discreet as they are, these styles do not suit every type of hearing loss. Your audiologist will always recommend the style that matches your hearing profile, not just your preference for something less visible, and it is worth having that honest conversation at your appointment.
Button or switch for control: Most RIC hearing aids have a button that can be programmed by your audiologist. If you're not sure what your button does, make a quick appointment with your hearing care professional to find out.
Switching between listening programmes for different environments, adjusting the volume, or turning certain features on or off. If you are unsure what your button does, it is worth asking your audiologist at your next appointment.
A thin wire runs from the main body of the hearing aid down to the receiver in your ear canal, carrying the processed audio signal. It is more robust than it looks, but worth checking occasionally for kinks or damage.
The wire that connects: A thin wire connects the main body to the speaker in your ear canal, carrying the processed audio signal.
The speaker and receiver: Once your hearing aid has processed and amplified the sound, it needs to deliver it into your ear canal.
It converts those electrical signals back into sound and delivers them directly into your ear canal, seated either in a soft silicone dome or a custom earmould shaped to fit your ear.
Dome attachments: Domes usually work well for people with mild to moderate hearing loss, which is common as people get older. These little silicone pieces that look like bells or mushrooms attach to the end of the wire and sit in your ear canal.
If the fit isn't right, sound will leak out, and there will be whistling feedback. This is why getting the right size is so important.
Domes are simple to look after. A quick wipe with a soft dry cloth each evening takes seconds, and checking that yours is still firmly attached and in good condition should become as routine as charging your phone.
When they start to look worn or misshapen, replace them. They are inexpensive and widely available, and a fresh dome makes a noticeable difference to both comfort and sound quality.
Custom earmoulds: Earmoulds are made of plastic, silicone, or acrylic and are custom-made from impressions of your ear to fit perfectly in your ear canal and concha bowl.
The snug fit of a custom earmould matters more than it might seem. For people with severe to profound hearing loss, a proper seal is essential because any gap allows amplified sound to escape and loop back into the microphone, causing that familiar whistling feedback. When the fit is right, feedback is rarely a problem.
Most modern hearing aids work with smartphone apps that let you change settings and make your listening experience better for different situations.
Wax guards: Wax guards are small mesh filters that sit at the opening of the receiver, protecting it from earwax and debris. Without them, wax would quickly block the sound pathway, causing your hearing aid to sound muffled or stop working altogether.
Most hearing aids come with a small replacement tool, and your audiologist will show you how to swap them out at your fitting. It's a simple task you can do at home.
How often you need to change them depends on how much wax your ears produce. Checking monthly is a reasonable starting point, with your audiologist advising further based on your own needs.
A quick wipe with a soft dry cloth each evening before putting your hearing aids away is one of the simplest things you can do to keep them working well. It takes less than a minute and prevents the gradual build-up of skin oils and debris that can affect the microphone over time.
Putting your device in a dehumidifier overnight will get rid of extra moisture and make it last longer. Take out your hearing aids before swimming.
While many modern aids carry an IP68 water resistance rating that protects against rain and splashing, no hearing aid is designed for swimming or submersion. For showering, check the manufacturer's guidance for your specific model.
Hearing aids work best when they are worn all day, every day. It can take a few weeks to adjust, particularly if this is your first time wearing them, but the adjustment is worth it.
Hearing is processed in the brain, not just the ears, and your brain needs regular input to stay sharp at interpreting sounds.
When that input is interrupted or absent for long periods, it can become harder over time to make sense of what you are hearing, even when the aids are back in. Audiologists call this auditory deprivation, and it is one of the main reasons consistent daily wear is so strongly encouraged.
If your hearing aids are uncomfortable, producing a whistling or buzzing sound, or simply do not seem to be doing enough, do not put up with it. These are signs that something needs adjusting, not that hearing aids are not working for you. Call your audiologist and get it looked at.
Hearing aids are more straightforward to look after than most people expect. Clean them regularly, store them properly, and wear them every day. That is genuinely most of it. The parts covered in this guide are there to help you feel confident, not overwhelmed.
The more familiar you are with your hearing aids, the quicker you will spot when something is not quite right, and the easier it will be to explain to your audiologist what needs attention.
Your hearing care professional is there for exactly that. If something is uncomfortable, if you are getting feedback, or if sounds seem quieter than they should, get in touch sooner rather than later. There is no such thing as a trivial question, and a quick appointment can often resolve something that has been bothering you for weeks.
Hearing aids that are well looked after will serve you for years. More importantly, wearing them consistently keeps your brain engaged with the sounds around you, the people you care about, and the conversations worth having.
Understanding how your hearing aids work is a good first step. If you are thinking about your first pair, or considering an upgrade, our HCPC-registered audiologists are happy to help you find the right fit for your hearing and your lifestyle. Call us free on 0800 567 7621 or book a free hearing test at a clinic near you or in your own home.
Do you already wear hearing aids but are looking to upgrade? Don't wait; call one of our hearing care professionals to get re-tested, get advice on the right solutions for you, and to make sure you're getting the best hearing experience possible.
How long do hearing aids last?
Parts of a hearing aid
What hearing aid features do I actually need? Do not spend hundreds of pounds without getting a second opinion from us.
Not only are the prices great, but the service is fantastic! Many thanks to your team.In general, any audiologist will always recommend to you the hearing aid model that best suits your needs. Here is a useful checklist to make sure that is the case.
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 them 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
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's warranty when it comes to replacing the battery.
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.
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 is 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.
Manufacturer's warranties typically last between 2-5 years, depending on the brand and model, and cover defects in materials and workmanship. This includes repairs for component failures, electronic malfunctions, and manufacturing defects, but excludes damage from misuse, accidents, or normal wear. Most manufacturers also include loss and damage insurance for the first year.
We handle all warranty claims on your behalf, liaising with manufacturers and ensuring you get replacement devices quickly when needed. This comprehensive warranty coverage, combined with our lifetime aftercare, gives you complete peace of mind. Find out more about our warranty cover here
Our hearing tests are completely free, whether at our clinics or in your home. Unlike other providers who charge £30-£100 for home visits, we believe hearing healthcare should be accessible without financial barriers. Our comprehensive assessments include examination by an HCPC-registered audiologist, audiogram results, and personalised recommendations.
All testing, future adjustments, and ongoing support are included at no extra cost. While NHS tests are also free, typical 6-week waiting periods often lead people to seek immediate private testing. We provide prompt, professional assessments that fit your schedule and budget.
Yes, we offer completely free home visits throughout the UK, and this service is included in our prices with no additional charges. Home visits are particularly valuable for people with mobility issues, busy schedules, or those who simply prefer the comfort and convenience of their own environment.
Our audiologists can conduct full hearing tests, fit hearing aids, and provide ongoing support in your home. This service sets us apart from many providers who either don't offer home visits or charge extra for them.
We can offer prices up to 40% lower than high street retailers because of our business model. As a network of 200+ independent audiologists, we don't have the massive overheads of large retail chains - no expensive high street premises, no sales targets pushing audiologists to sell the most expensive options, and no costly marketing campaigns.
However, we maintain the same buying power as the big chains because we purchase on behalf of our entire nationwide network. This means you get access to the same premium hearing aids with professional service, but at genuinely competitive prices.
We offer a comprehensive 60-day money-back guarantee, which gives you twice the industry standard time to properly assess whether your hearing aids are right for you. This extended period recognises that adjusting to hearing aids takes time, and your brain needs several weeks to adapt to the amplified sounds.
Unlike many providers who offer just 30 days, we believe 60 days gives you the confidence to test your hearing aids in all the situations that matter to you - from quiet conversations at home to busy restaurants and outdoor activities.
When we refer to a product as 'Latest Launch', we mean it is the latest to be released on the market.
When we refer to a product as 'New', we mean that the product is the newest hearing aid model on the market.
When we refer to a product as 'Superseded', we mean that there is a newer range available which replaces and improves on this product.
When we refer to a product as an 'Older Model', we mean that it is has been superseded by at least two more recent hearing aid ranges.