Updated for 2025: Sensorineural hearing loss (SNHL) happens when damage to the inner ear or auditory nerve interferes with how sound signals are sent to the brain. SNHL is usually permanent, but there are effective and modern treatments available—ranging from hearing aids and cochlear implants to CROS systems and assistive technology.
Sensorineural Hearing Loss Treatment Options
The most common and effective solution for SNHL is hearing aids. These come in two main types: self-fit OTC hearing aids and professionally fit hearing aids. Other treatments include cochlear implants, CROS or BiCROS systems for asymmetrical or single-sided hearing loss, and corticosteroids in sudden hearing loss cases.
Factors to Consider
Your audiologist will help determine the best treatment based on several factors: the severity of hearing loss, whether it’s in one or both ears, and if it developed gradually or suddenly. A comprehensive hearing evaluation is the first step. If hearing aids are recommended, your provider will guide you through choosing a style and technology level that fits your communication needs and budget.
Conventional Hearing Aids
Professionally fit hearing aids remain the gold standard for managing most SNHL cases. These digital devices are custom-programmed and can be adjusted over time to match your hearing profile. Even hesitant patients often experience dramatic improvements in their quality of life.
Today’s hearing aids offer advanced features like directional microphones, AI-powered noise filtering, Bluetooth streaming, and rechargeable batteries. Most users with hearing loss in both ears benefit from wearing two hearing aids to improve sound localization and speech understanding in noise.
Professionally Fit vs. Self-Fit OTC Hearing Aids
Hearing aids come in both professionally fit and over-the-counter (OTC) models. Each is designed for different levels of hearing loss, budgets, and user comfort.
Professionally fit hearing aids are dispensed and programmed by an audiologist. These are custom fit and calibrated to match your hearing test results. The process typically includes follow-ups for adjustments and counseling to ensure success.
Explore our updated guide: Recommended Hearing Aids for 2025.
Pros of Professionally Fit Hearing Aids
- Customized programming based on audiometric data
- Optimized physical fit with domes or earmolds
- Advanced sound processing and connectivity
- Ongoing professional support and fine-tuning
Cons of Professionally Fit Hearing Aids
- Higher upfront cost
- Requires office visits for testing and adjustments
- May not be covered by insurance
Self-Fit OTC Hearing Aids
OTC hearing aids are an excellent option for adults with mild to moderate hearing loss. They are self-programmed and purchased without a prescription—usually online or at pharmacies. Many offer smartphone apps for fitting and adjustments.
Pros of OTC Hearing Aids
- Lower cost
- No need for an audiologist visit
- Quick access and easy returns with many brands
Cons of OTC Hearing Aids
- Not customized to your exact hearing profile
- May be less effective in noisy environments
- Fit and comfort may vary widely
In summary, professionally fit hearing aids offer more precision and support, while OTC models are convenient and affordable for milder loss.
Top Hearing Aid Brands in 2025
Leading brands for professionally fit hearing aids include Phonak, Starkey, ReSound, Oticon, and Widex. In the OTC market, top contenders include Sony, Lexie, Eargo, and Sennheiser.
Explore Hearing Aid Styles
Hearing aids come in several shapes and sizes. Whether you’re looking for nearly invisible in-ear models or durable behind-the-ear (BTE) options, there’s something for everyone. Learn more about hearing aid styles and how they impact performance and comfort.
Cochlear Implants and CROS/BiCROS Systems
If you have severe hearing loss or no usable hearing in one ear, cochlear implants or CROS/BiCROS systems may be the best solution. These technologies bypass damaged inner ear structures or wirelessly transmit sound from one ear to the other, restoring a sense of directionality and clarity.
Additional Resources
- Breaking Down the Cost of OTC vs Traditional Hearing Aids
- Understanding Functional Hearing Loss
- Which Brands Have the Best Return Policies?
Ready to explore your options? Visit ZipHearing to find discounted local hearing care, or return to HearingInsider.com for expert tips and reviews from a licensed audiologist.