Chatter Challenge Gauge
Cut Through Daily Din Confidently
Understanding speech becomes more demanding when background noise competes with conversation. Even with normal hearing levels, some people struggle to follow voices in busy places like restaurants or meetings. Symptoms often include missing key words, needing repetition, or feeling mentally drained after listening. These difficulties commonly surface despite “normal” results on standard hearing tests.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Babble Battle Benchmark
Sentences Vs. Surround Sound Strife
Speech-in-noise testing evaluates how well you understand spoken words in the presence of background noise. During the test, speech is presented alongside varying levels of competing noise, reflecting everyday listening environments. Your responses show how well the brain separates speech from noise, a skill not measured by tone-based tests alone.
At Harley Street Audiovestibular Clinic, speech-in-noise tests are carried out in a controlled clinic setting and are straightforward and non-invasive. The test is safe and well-tolerated. Results help explain real-world listening difficulties, even when pure tone hearing appears normal, and guide targeted strategies rather than generic hearing advice.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 105 reviews Posted on 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 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 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 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 Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on 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!Posted on Monika HlavkovaTrustindex verifies that the original source of the review is Google. A really good experience with the whole clinic - quick and efficient booking process, coordination between various teams, and generally a smooth operation. The consultation with Dr Rudy was very informative - he takes the time to understand the issue and answer questions, the tests seem to be very comprehensive and he is clear on the path forward. Would definitely recommend.Posted on Hughie ClarkTrustindex verifies that the original source of the review is Google. I recommend Harley AVC for anyone struggling with dizziness/pppd who isn’t sure what their next steps should be
Pinpointing the Cause
Linking Test Results to Daily Communication
SIN Slots Post Speech Surveys
Assessment begins with a detailed history, an ear examination, and standard hearing tests, including pure-tone and speech audiometry. We recommend speech-in-noise testing when routine results do not fully explain everyday listening complaints.
Management is usually non-surgical. Findings guide communication strategies, listening training, hearing support options, and monitoring. Further investigation or referral is considered only when difficulties persist, worsen, or significantly affect work, social interaction, or quality of life.
Focused Expertise in Complex Listening
At Harley AVM, speech-in-noise testing is interpreted within an expert audiovestibular framework. Our team focuses exclusively on hearing and balance disorders, allowing us to connect test findings with real-life listening demands, fatigue, and communication challenges. We explain results clearly and translate them into practical, personalised recommendations.
Assessment, testing, and follow-up are coordinated through one clinic, ensuring continuity of care and shared decision-making. If conversations in noise feel exhausting or unclear despite "normal" hearing tests, we invite you to book an assessment, request a call back, or submit an enquiry to explore 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.