Real-World Word Capture

Repeat to Reveal Listening Limits

Hearing clearly involves more than detecting sound; it also requires the brain to recognise and interpret speech accurately. When this process is disrupted, people may hear voices but struggle to follow conversations, especially in noisy environments. Symptoms often include mishearing words, frequent repetition, or difficulty understanding speech despite normal or near-normal hearing levels.

Conversation Clarity Calibration

Words in Noise Weigh Real Struggles

Speech audiometry evaluates how well you hear and understand spoken words at different volumes. During the test, recorded or live speech is presented through headphones, and you are asked to repeat words or sentences. This allows us to assess speech detection, clarity, and understanding in each ear.

At Harley Street Audiovestibular Clinic, speech audiometry is performed alongside pure-tone testing to provide a fuller picture of hearing ability. The test is non-invasive, comfortable, and reflects everyday listening challenges more closely than tones alone. Results help identify whether difficulties relate to hearing sensitivity, speech processing, or both, guiding appropriate management and support.

Pinpointing the Cause

Putting Hearing Difficulties Into Context

Understanding Communication Before Escalation

Assessment begins with a detailed history, ear examination, and hearing tests. We explore how hearing difficulties affect conversations, work, and social situations before drawing conclusions, ensuring test results are interpreted in the context of real-world communication rather than in isolation.

Management is usually non-surgical. Results guide communication strategies, hearing support, monitoring, or further investigation where needed. Referral or advanced assessment is considered only when speech understanding remains poor, worsens, or significantly affects daily communication and quality of life.

Speech audiometry equipment used to test hearing clarity

Dialogues Decoded at Our Door

At Harley AVM, speech audiometry is interpreted within an expert audiovestibular framework rather than in isolation. Our team focuses exclusively on hearing and balance disorders, allowing us to relate speech understanding results to hearing levels, listening environments, and patient experience. We prioritise clear explanations, helping you understand what the findings mean for everyday communication.

Assessment, testing, and follow-up are coordinated through one clinic, ensuring continuity of care and shared decision-making throughout. If conversations remain difficult, speech feels unclear, or listening requires extra effort, we invite you to book an assessment, request a call back, or submit an enquiry to discuss tailored next steps with our team.

Clinical speech audiometry assessment for speech-in-noise understanding
Harley Street Audiovestibular Clinic consultation for hearing and balance disorders

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Conditions We Are Treating At Harley Street Audiovestibular Clinic

Expert Medical Care for Hearing, Tinnitus & Balance

Request An Appointment With One of Our Consultants

If you are living with dizziness, vertigo or unsteadiness, our team can help identify the cause. Your consultant will carry out the right combination of tests, explain the results in clear language and agree a treatment plan with you - so you know exactly what is happening and what can be done.

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Take the first step towards better hearing and balance! Schedule your consultation today and experience expert care that truly makes a difference.