It is common for hearing loss to gradually worsen with age. The three main parts of the ear are the middle ear, inner ear, and outer ear. Sound waves go through the outer ear and cause the eardrum to vibrate. As the vibrations travel through the eardrum and three small middle ear bones to the inner ear, they intensify. The vibrations go through fluid in the cochlea, a snail-shaped area of the inner ear.a harm to the inner ear. With time and exposure to loud noise, the hairs or nerve cells in the cochlea that carry sound signals to the brain may degenerate. Hairs with damaged or absent nerve cells cannot transmit electrical impulses properly. This causes hearing loss. Higher pitch sounds could come off as muffled. It could be challenging to make out words over the background noise. buildup of ear wax. Over time, earwax can block the ear canal and prevent sound waves from passing through. Ear wax removal can help with hearing.
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