As technology advances and regulations change, hearing aids are now more accessible to those experiencing mild to moderate hearing loss. Your hearing aids will be most effective if they are properly fitted. Each OTC hearing aid has unique features and fitting requirements. Read your device’s user manual carefully, as it contains valuable information. OTC hearing aids fall into several categories:

 OTC hearing aids

  1. Behind-the-ear (BTE) – These devices sit behind or on top of the outer ear and have a thin tube that routes sound into the ear canal. They’re often the easiest to handle and clean.
  2. In-the-ear (ITE) – A hearing aid that fits completely inside the outer ear. They’re slightly smaller than BTE models but still relatively easy to handle.
  3. In-the-canal (ITC) or Completely-in-canal (CIC) – These are smaller devices that fit partly or completely into the ear canal. They’re less noticeable but more difficult to handle and adjust.

Regardless of the style, most OTC hearing aids come with adjustable tips or domes that fit into your ear canal. Selection of the right size is crucial for sound quality and comfort.

Preparing for the fitting

Before fitting your OTC hearing aids, ensure you’re in a quiet, well-lit area where you can focus without distractions. Have a mirror handy, as it helps when positioning devices. Also, make sure your hands are clean and dry to protect your hearing aids’ delicate components. If your hearing aids are rechargeable, ensure they’re fully charged before starting. If they use disposable batteries, have fresh batteries ready.

Step-by-step fitting process

Inspect your ears

Before inserting your hearing aids, use a mirror to examine your ears. Make sure there are no signs of infection or excess ear wax. If you notice any issues before proceeding.

Choose the right tip size

OTC Hearing Aids usually come with dome sizes or ear tips. Start with the smallest tip, as this fits most people comfortably. If it feels too loose or tight, try other sizes until you find the right fit. The right size should feel snug but not uncomfortable.

Attach the tip to the hearing aid

If your hearing aid requires you to attach the ear tip manually, do so carefully. Ensure it’s securely fastened to prevent loosening in your ear.

Position the hearing aid correctly

For BTE models:

Hook the device over the top of your ear, nestling it behind your outer ear.

Gently insert the ear tip into your ear canal.

The tube should rest close to your head.

For ITE, ITC, or CIC models:

Hold the hearing aid with the sound output (usually marked with a small dot) facing towards your ear canal.

Gently insert the device into your ear, twisting slightly as you push it in to help it settle into place.

Check the Fit

Once in place, your hearing aid should feel comfortable. If you experience any pain or extreme discomfort, remove the device and try a different-sized tip. The hearing aid should not feel like it’s blocking your ear completely – you should still be able to hear your voice naturally.

Adjust the volume and settings

Most OTC hearing aids come with pre-programmed settings but often allow customization. Initially, set the volume to a comfortable level. Remember, it may take some time for your brain to adjust to amplified sounds, so don’t be discouraged if things sound unusual at first.

Test in different environments

To ensure your hearing aids work effectively, test them in various environments. Try having a conversation in a quiet room, then in a noisy area. Listen to TV or radio. Pay attention to any discomfort or feedback (whistling sounds), as these may indicate adjustments are needed.