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.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
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.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 107 reviews Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.Posted on Google Dawn MannTrustindex verifies that the original source of the review is Google. my experience from the first phone call to meeting with Dr Arun on Monday has been outstanding. i have been suffering for four years with PPPD and Dr Arun and his team were beyond respectful, helpful and friendly, after feeling totally lost for the last four years being thrown from one HCP to another, I now have hope. Amazing experience and would strongly recommend Dr Arun and this practice for any vestibular disorders.Posted on Google Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Google Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Google Ana KondratenkoTrustindex verifies that the original source of the review is Google. Great experience at Harley AVM. Attended the clinic to have vestibular tests conducted - high professionalism and comfort!
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.
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.
Major Insurance Providers Accepted
our services
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.