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Hearing an Echo of Your Own Voice? Here's What Could Be Behind It

Kimberley Bradshaw - Head of Marketing
Written By:
Kimberley Bradshaw

Head of Online Medical Content

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

Audiology Expert at Hearing Aid UK

Posted: 27th May 2026
Updated and medically reviewed: 27th May 2026 in: Hearing Loss Awareness
What Is Echo in the Ears?

What Is Echo in the Ears?

Understanding the causes and symptoms

 

Overview  |  Causes  |   Symptoms   |  When is it worth getting checked?  |  Conclusion

 

Last Hearing Aid UK Update:  02 

Overview

What is autophony? Echo in the ears, sometimes called autophony, is when you hear your own voice, breathing, or other sounds echoing inside your ear.

It can come from a number of different things, anything from a simple build-up of earwax through to changes in how your middle or inner ear is working.

In this article, we'll look at what might be causing it, what it can actually feel like, and when it's worth having someone take a proper look.

 

What causes an echo in the ears?

Ever noticed an odd echo in your ear that you just can't explain? You're not alone; plenty of people experience this. Some describe it as feeling like they've got cotton wool stuffed in their ear; others compare it to that pressure you get on a plane.

However people describe it, the common thread is that it's uncomfortable, and it can get in the way of hearing clearly.

 

There are quite a few things that can cause an echo in the ears, including:

  • Eustachian tube dysfunction: Your Eustachian tube runs from your middle ear to the back of your nose, quietly keeping the pressure balanced. When it stops doing that job properly, usually because of allergies, a sinus infection, or a cold, sound can start to echo.
  • Middle ear infections: Infections can leave fluid sitting in the middle ear, and that's usually behind the echoing feeling. It tends to show up more in kids, though it catches adults out as well.
  • Earwax build-up: Too much earwax can block the ear canal and throw off how sound comes through, including causing an echo.
  • A patulous Eustachian tube: This is when the Eustachian tube stays open more than it should, which can make your own breathing or voice sound strangely amplified or echoey.
  • Otitis media with effusion:  This is fluid sitting in the middle ear with no infection actually behind it, and it can leave you with a feeling of fullness alongside the echo.
  • Superior canal dehiscence syndrome (SCDS): An uncommon condition caused by a small gap in the bone that covers part of the inner ear, making sounds reverberate oddly.
  • Age-related hearing loss (presbycusis): A fairly common cause of echoing as we get older, often turning up alongside tinnitus, and linked to the natural changes our inner ear goes through over time.
  • Sinus infections: Inflammation in the sinuses can sometimes bring on echoing in the ear, often alongside congestion or pressure in the face.
  • Diplacusis: A form of double hearing that can follow an ear infection or exposure to loud noise, and can affect either the pitch or the timing of the sounds you're hearing.
  • Allergies: When allergies flare up, fluid can build up in the ear, and that's often what brings on the pressure, discomfort, or echoing feeling.
  • Certain medications: Some medications can occasionally affect the inner ear and bring on an echoing feeling. If you think something you're taking might be behind it, it's worth mentioning to your GP.
  • A note on rarer causes: Conditions like acoustic neuroma (a slow-growing, non-cancerous growth affecting the hearing nerve) can occasionally cause symptoms like this too.

It's uncommon, but it's exactly why it's worth getting anything persistent or unusual properly checked, rather than trying to work it out yourself.

 

What does echo in the ears feel like?

It's rarely just the echo on its own; people often notice a few other things tagging along too, depending on the cause:

  • Hearing changes and tinnitus: you might find your hearing feels muffled, or comes and goes, particularly if fluid or earwax is the culprit. Tinnitus, that ringing or buzzing sound, can also show up alongside the echo for some people.
  • Fullness, discomfort, or balance changes: a sense of pressure or fullness in the ear is common, especially with Eustachian tube issues. Some people feel a little dizzy if the inner ear's affected, or notice discomfort if there's an infection or fluid build-up.

 

When is it worth getting checked?

Echo in the ears often has a fairly simple explanation, like earwax or a lingering cold, but because it can occasionally point to something less common, it's always worth having it looked at rather than trying to guess what's going on.

It's especially worth getting checked if the echo sticks around, if it comes with any change in your hearing, ongoing dizziness, pain, or discharge, or if it's just getting in the way of your day-to-day life. A GP, audiologist, or ENT specialist can take a proper look and point you in the right direction.

 

Conclusion

Echo in the ears can come from all sorts of causes, from something as simple as earwax or a cold, through to changes in how your middle or inner ear works as you get older. Alongside the echo, you might notice tinnitus, a feeling of fullness, or some change in your hearing.

Most of the time, it's something straightforward and nothing to worry about. But because a small number of causes are less common, it's always worth getting anything persistent or unusual properly checked rather than managing it on your own.

If you've noticed an echo in your ears, or any change in how you're hearing, we're here to help. Call us free on 0800 567 7621, or book a free hearing test with one of our HCPC-registered audiologists, who can help point you towards the right next step.

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If an echo in your ears is sticking around, or you've noticed any other changes in your hearing alongside it, it's always worth getting a proper answer rather than guessing.

Call us free on 0800 567 7621 to speak with one of our HCPC-registered audiologists, who can talk through what you're experiencing and help point you towards the right next step, whether that's a straightforward explanation or a referral for something that needs a closer look.

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Written by Kimberley Bradshaw

Meet Kimberley Bradshaw, Head of Online Medical Content

Kimberley Bradshaw is Head of Online Medical Content at Hearing Aid UK, with six years of experience writing about hearing healthcare for UK and US health and wellness publications. Her focus has always been the same: making complex topics feel clear, human, and easy to understand.

✔️ Head of Online Medical Content, Hearing Aid UK

✔️ Medical Content Writer — UK & US publications

✔️ 6 years experience writing in the audiology space

✔️ Member of Tinnitus UK

Audiologically reviewed by Paul Harrison

Meet Paul Harrison, Audiology Expert at Hearing Aid UK

Paul Harrison is an audiology expert at Hearing Aid UK, with over 20 years of experience helping people understand their hearing health and find the right solutions for their needs. He is committed to making audiological advice accessible, honest, and straightforward for everyone.

✔️  Council Member, BSHAA — 2015–2020

✔️  Audiology Expert, Hearing Aid UK

✔️ 20 years of audiology experience

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FAQs

What is the best hearing aid model for me?

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.

  • Audiologist's 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.  You can read our best hearing aids of this year 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 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

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's warranty when it comes to replacing the battery.

Are Behind-the-Ear hearing aids better than In-the-Ear hearing 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 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.

What's covered in a manufacturer's warranty?​

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

How much does the hearing test cost?

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.

Do you offer home visits, and are they included in the price?

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.

Why are your hearing aids cheaper than what I'd pay on the high street?

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.

How long do I have to try the hearing aids before committing to keep them?

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.

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