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Diagnostic Audiologic Evaluation
If you’ve been referred for a diagnostic audiologic evaluation, it means your hearing requires a closer look. This type of evaluation is often recommended for individuals who did not pass an initial hearing screening.
The purpose of the evaluation is to determine whether hearing loss is present and, if so, to identify its type and degree. The results can also help uncover possible causes and guide the audiologist in recommending the most appropriate treatment options—or in referring you to another professional if needed.
What tests will be conducted?
Tests performed during a diagnostic audiologic evaluation depend on your age, symptoms, and medical history. These tests help determine the degree and type of hearing loss, as well as assess the health of the ear canal and middle ear. They also allow the hearing specialist to identify whether the hearing loss is conductive (related to the outer or middle ear) or sensorineural (involving the inner ear, auditory nerve, or central auditory pathways).
At a minimum, the evaluation typically includes pure-tone testing, bone conduction testing, and speech testing.
Pure-tone and bone conduction testing
Pure-tone testing measures the softest sounds you can hear at different pitches, from low to high. Bone conduction testing is similar but uses a different type of headset that provides the hearing specialist with additional information. Together, these tests help determine whether the hearing loss is conductive (related to the outer or middle ear) or sensorineural (involving the inner ear or auditory nerve).
Speech Testing
Speech reception threshold (SRT) testing is used to confirm the results of the pure-tone test. It measures the lowest volume at which a person can accurately recognize and repeat words, helping the audiologist better understand how well speech can be detected and processed.
Additional tests:
A hearing specialist may also perform an otoscopy, which is a physical examination of the outer ear, ear canal, and eardrum, as well as tympanometry, a test that evaluates middle ear function. These procedures help assess the overall health of the ear canal and middle ear.
For infants, young children, or individuals with developmental or cognitive challenges, specialized tests are available. These tests make it possible to evaluate the auditory system even when a patient is unable to actively participate in the standard evaluation process.
Visual reinforcement and conditioned play audiometry for children
When hearing loss is suspected in a child, a diagnostic hearing evaluation is an important first step. Identifying hearing concerns early helps guide treatment planning to support both academic and social development.
As part of the process, you can expect time with the hearing specialist to review the results. They will explain the findings, answer your questions, provide information and referrals if needed, and begin discussing possible treatment options.
Audiologists are experts in hearing and rehabilitation. If something isn’t clear, don’t hesitate to ask for clarification—your audiologist is there to support you and your child.
What can I expect during a diagnostic hearing evaluation?
A diagnostic hearing evaluation typically takes about 30–40 minutes. You’ll also have time afterward to review the results with your audiologist, ask questions, and—if hearing aids are recommended—discuss your options.
It’s a good idea to bring a family member or close friend with you. Since hearing loss often affects the whole family, having support at the appointment can make it easier to understand the information and recommendations.
Before testing begins, the audiologist will take a full medical history and talk with you about any hearing concerns, including noise exposure, ringing in the ears (tinnitus), or balance issues. Be sure to bring a complete list of medications and supplements you’re currently taking.
This appointment is also an opportunity to build a relationship with your hearing specialist. Don’t hesitate to ask questions—you’ll want to feel confident about the information you receive so you can play an active role in choosing the hearing solutions that best fit your needs and lifestyle.
When hearing loss is suspected in a child, a diagnostic hearing evaluation is an important first step. Identifying hearing concerns early helps guide treatment planning to support both academic and social development. As part of the process, you can expect time with the hearing specialist to review the results. They will explain the findings, answer your questions, provide information and referrals if needed, and begin discussing possible treatment options. Audiologists are experts in hearing and rehabilitation. If something isn’t clear, don’t hesitate to ask for clarification—your audiologist is there to support you and your child.
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