Low-Frequency Hearing Loss: What You Need to Know

Hearing loss is a condition that affects many. However, not all types of hearing loss are the same. One less well-known but equally important type of hearing loss is low-frequency hearing loss. In this blog post, we will explore what low-frequency hearing loss is, its causes, common symptoms, and available solutions to help those affected by this condition.

What is Low-Frequency Hearing Loss?

Low-frequency hearing loss, often referred to as ‘bass tone hearing loss,’ is a type of hearing impairment that primarily affects an individual’s ability to hear sounds in the lower frequencies of the audible spectrum. These lower frequencies typically include sounds like the deep tones of a bass guitar, a rumbling thunderstorm, or the low hum of a car engine. When someone has low-frequency hearing loss, these sounds may become muffled, distorted, or inaudible.

What Causes Low-Frequency Hearing Loss?

Several factors can contribute to the development of low-frequency hearing loss:

  • Aging: Just like high-frequency hearing loss, age-related hearing loss (presbycusis) can also impact low-frequency hearing. As people age, their ability to hear lower-pitched sounds tends to diminish.
  • Noise Exposure: Exposure to loud noise, whether from occupational settings, recreational activities, or personal audio devices, can damage the hair cells in the inner ear responsible for low-frequency sound perception.
  • Medical Conditions: Certain medical conditions, such as Meniere’s disease or otosclerosis, can affect low-frequency hearing.
  • Genetics: Some individuals may be genetically predisposed to low-frequency hearing loss, which means it can run in families.
Senior woman struggling to hear

What Are the Symptoms?

Identifying the symptoms of low-frequency hearing loss can be crucial for early diagnosis and treatment. Some common signs to watch out for include:

  • Difficulty Hearing Deep Voices: People with low-frequency hearing loss may struggle to hear the voices of individuals with deeper tones, making it challenging to engage in conversations with them.
  • Inability to Detect Low-Pitched Sounds: Sounds like footsteps, distant thunder, or the bass in music may become less noticeable or completely inaudible.
  • Muffled or Distorted Sound Perception: Low-frequency sounds may come across as muffled or distorted, making it hard to understand spoken words or enjoy music and other audio experiences.
  • Increased Volume for Clarity: Individuals with low-frequency hearing loss may find themselves constantly increasing the volume on their TVs, radios, or other audio devices to compensate for their impaired hearing.

How Is the Condition Diagnosed?

Diagnosing low-frequency hearing loss can indeed be challenging due to its relative rarity and the subtleness of its symptoms. Often, individuals may not even be aware that they have this type of hearing loss until it significantly affects their daily life. This unique type of hearing loss is also known as ‘reverse-slope hearing loss’ because, on an audiogram, the pattern of hearing loss appears as an upside-down slope when plotted. In a typical audiogram, higher-frequency sounds are represented on the left, and lower-frequency sounds on the right. In cases of low-frequency or reverse-slope hearing loss, the hearing thresholds for low-pitched sounds are significantly elevated, making it difficult to hear sounds in the lower frequency range. 

To address this issue, it is crucial for individuals to undergo regular hearing evaluations by a qualified audiologist. These professionals can conduct comprehensive hearing tests, including audiometry and specialised tests for low-frequency sounds, to accurately diagnose and assess the extent of the condition. Early detection and diagnosis are key to providing timely intervention and improving the overall management of low-frequency hearing loss, ensuring that individuals can enjoy a fuller and more vibrant auditory experience.

Senior woman attending a hearing test

Solutions for Low-Frequency Hearing Loss

The good news is that there are solutions available to help individuals with low-frequency hearing loss. These include:

  • Hearing Aids: Hearing aids can be programmed to amplify low-frequency sounds, improving the wearer’s ability to hear and understand speech and enjoy various sounds.
  • Cochlear Implants: In severe cases of low-frequency hearing loss, cochlear implants can provide a more advanced solution by directly stimulating the auditory nerve.
  • Assistive Listening Devices: These devices, such as FM systems or loop systems, can be used in specific environments to enhance sound quality and reduce background noise.
  • Lifestyle Changes: Avoiding excessive noise exposure, using hearing protection in noisy environments, and managing underlying medical conditions can also help prevent or manage low-frequency hearing loss.


Low-frequency hearing loss is a less well-known but important aspect of hearing difficulty. Understanding its causes, recognising its symptoms, and exploring available solutions can make a significant difference in the lives of those affected by this condition. If you or someone you know is experiencing symptoms of low-frequency hearing loss, seeking help from a hearing care provider like Hear4U is the first step toward better hearing and an improved quality of life. Don’t let hearing loss limit your connection to the world of sound; take action today by booking a free hearing test with us!