Hearing Test

Audiology evaluations consist of a series of tests used to determine whether a hearing loss exists and, if so, measure its type, degree and configuration. An audiologist will assess the results of each individual test in order to develop a treatment plan geared toward your unique hearing loss.

Who Should Be Given an Audiology Evaluation?

An audiology (or hearing) evaluation can benefit patients of all ages, even those who do not exhibit signs of hearing loss. If you are unsure of whether or not you might benefit from an audiology evaluation, this simple hearing quiz can help determine if hearing loss may be impacting your daily life.

How does hearing loss develop?

Hearing loss is typically a progressive condition that often develops slowly. Many people are not aware of a change in their hearing because they gradually adapt to the subtle changes in their hearing ability over time. Studies indicate that it takes seven years, on average, for a hearing impaired individual to seek treatment.

What’s the first step in hearing loss treatment?

An audiology evaluation should be the first course of action for anybody who even suspects a hearing loss. The sooner a diagnosis of hearing loss is made, the more successful treatment will be. Early detection means more options for the patient.

Many physicians urge making audiology evaluations a routine part of your overall health care, much like regular vision exams and dental checkups. They are quick, painless and provide immediate results.

What to Expect at Your First Appointment

doctor with a clipbaord


You will be asked some questions about your hearing health and your listening lifestyle to learn more about your specific concerns in areas that are most important to you.

ear inspection


Next, your doctor will examine your ears to ensure they are healthy and to see if any obstruction, like ear wax, may be causing your hearing difficulties.

hearing test


You will be moved to a sound treated room and participate in several tests that will include listing to sounds and having you repeat words. This will help your doctor determine what you’re hearing (or not hearing).

elderly doctor appointment


Your doctor will discuss your test results in detail and review your current hearing health. Treatment recommendations will be made based on your test results, listening lifestyle, and preferences.

What Does Diagnostic Testing Entail?

A comprehensive audiology evaluation consists of a series of individual diagnostic tests that measure different aspects of your hearing. Following a physical examination and a review of your medical history, you will be given any or all of the following tests:

Pure Tone Testing

Pure-tone testing (also known as pure tone audiometry) uses air conduction to measure your ability to hear sounds of various pitches and volumes. Wearing headphones, you will be asked to identify a series of tones by raising a hand, pressing a button, or responding verbally.

hearing test in a sound room

How are results interpreted?

The results are charted on an audiogram, a graph that shows the type, degree and configuration of your hearing loss by comparing pitch (frequency) with loudness (intensity). The pattern recorded will help your audiologist determine your hearing abilities.

Bone Conduction Testing

Bone conduction testing is another type of pure-tone test that measures the inner ear’s response to sound. If there is damage or a blockage in the outer or middle ear, bone conduction audiometry testing may be used.
Instead of sending the tones through the ear, this type of testing is able to bypass the outer and middle ear and send the tone directly to the inner ear. A small vibrator is placed behind the ear. The device sends out a vibration that passes through the skull bone to reach the inner ear.

How are results interpreted?

If the results of this test are different than the air conduction test, your audiologist can use this information to determine whether you have a conductive or sensorineural hearing loss.

Speech Testing

Speech (or word recognition) testing is used to measure your speech understanding of individual words in your right, left and both ears together. This is compared with your pure-tone test results to confirm the diagnosis. In addition, your ability to separate speech from background noise will be recorded.
Speech testing may be administered in either a quiet or noisy environment. The results are recorded on the audiogram for easy visual reference.


Tympanometry is a test of the middle ear used to detect fluid, wax buildup, and eardrum perforations. It measures movement of the eardrum in response to air pressure. The results are recorded on a chart called a tympanogram.

Acoustic Reflex Testing

The acoustic reflex test measures involuntary muscle contractions of the middle ear, and is used to determine the location of your hearing problem (the ossicles, cochlea, auditory nerve, etc.) as well as the type of hearing loss.

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Contact Big Sky Audiology Clinic at (406) 656-2003 for more information or to Schedule an Appointment

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