Because hearing loss in adults can develop gradually over several years, most people are not aware of the extent of their loss until family or friends bring it to their attention. Knowing the risk factors and recognizing the symptoms of hearing loss in yourself or someone you know is the first step to improving the situation. The following conditions are risk factors for hearing loss and should be evaluated by an audiologist.

• Trouble understanding people
  
• Dizziness or balance problem
  
• Tinnitus, or ringing in the ears
  
• Muffled or plugged ears
  
• Ear trauma or head trauma
  
• Certain ototoxic drugs
  
• Family history of hearing loss