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October 30, 2025

Why Even the Best Hearing Aids Fail Without Proper Fitting

Dr. Marni Novick

You've done your research, compared the latest models, and invested in premium hearing aids from a trusted manufacturer. Yet somehow, they're not delivering the clarity and comfort you expected. Sound familiar? You're not alone. Many people in Los Gatos and throughout Silicon Valley discover that even the most advanced hearing technology falls short when the fitting process is rushed or inadequate.

The truth is that hearing aids are sophisticated medical devices, not one-size-fits-all solutions. Their success depends far more on the expertise behind the fitting than the technology inside the device. Understanding why proper fitting matters can transform your experience from frustrating to life-changing.

The Technology Is Only Half the Story

Modern hearing aids like the Phonak Infinio, Starkey Omega AI, and Widex Allure represent remarkable engineering achievements. These devices process millions of sounds per second, adapt to your environment automatically, and connect seamlessly to your smartphone. The Phonak Infinio Sphere, for example, uses dual-chip architecture with 53 times more processing power than previous models. The Starkey Omega AI features DNN 360 directionality that provides up to 28% better speech intelligibility in challenging environments.

Yet all this computational power means nothing if the hearing aids aren't properly configured for your unique ears, hearing loss pattern, and listening needs. Think of it like buying a high-performance vehicle but never adjusting the seat, mirrors, or steering wheel to fit your body. The car's capabilities remain the same, but your ability to use them effectively is severely compromised.

Your Hearing Loss Is Unique

No two people experience hearing loss in exactly the same way. Your audiogram reveals your specific pattern of hearing loss across different frequencies, which can vary significantly from one person to another. You might have excellent low-frequency hearing but struggle with higher pitches, or vice versa. The degree of loss in each ear might differ substantially.

Beyond the audiogram, your ear canal shape, eardrum characteristics, and even the acoustics of your individual ear anatomy affect how sound travels and resonates. These physical factors influence which hearing aid style works best and how it should be programmed. A comprehensive hearing aid evaluation takes all these variables into account, ensuring the selected devices match both your hearing profile and your lifestyle needs.

At our Los Gatos practice, we begin every hearing aid fitting with a thorough assessment that goes beyond basic hearing tests. We conduct Quick Speech-in-Noise (QSIN) testing to determine how well you understand speech in noisy environments. We measure your Most Comfortable Levels (MCL) and Uncomfortable Levels (UCL) of loudness to ensure sounds remain pleasant and never painful. We discuss your daily activities, communication challenges, and priorities for improvement.

This comprehensive approach ensures we understand not just what you can't hear, but how hearing loss affects your actual life.

Real Ear Measurements Make the Difference

One of the most critical yet often overlooked aspects of proper fitting is Real Ear Measurement (REM). This verification procedure involves placing a thin probe microphone in your ear canal while you wear your hearing aids. The measurement system then plays sounds through the hearing aids and measures exactly what's happening acoustically inside your unique ear.

We use Real Ear Measurements to verify that soft speech is audible, moderate speech is comfortable, and loud sounds remain tolerable across all frequencies. This objective verification eliminates guesswork and reduces the trial-and-error period that many people experience when hearing aids are programmed based on manufacturer defaults alone. The difference between a fitting with and without Real Ear Measurements can mean the gap between frustration and satisfaction.

The Adjustment Period Requires Support

Getting used to hearing aids takes time, even when they're perfectly programmed. Your brain has adapted to diminished sound input, sometimes for years. Suddenly receiving fuller, richer sound information requires neurological adjustment. Background sounds you'd forgotten—refrigerator hum, air conditioning, keyboard clicks—might seem loud at first. Your own voice might sound strange.

This adjustment period is where professional support becomes invaluable. We provide realistic expectations about what you'll experience during your first weeks with hearing aids and remain available for fine-tuning as you adapt. Some people need volume adjustments. Others benefit from changes to noise reduction settings or feedback management. These modifications should be made thoughtfully, based on your specific experiences in real-world situations.

Lifestyle Matching Is Critical

The best hearing aid for a retired individual who enjoys quiet activities at home differs from the ideal choice for a tech executive managing meetings in busy restaurants. Your lifestyle needs assessment helps us recommend appropriate technology levels and features.

Someone who frequently attends live music events might prioritize the Widex Allure's dedicated streaming compressor and natural sound quality. A professional navigating noisy conference rooms would benefit from the advanced speech enhancement in the Phonak Infinio Sphere or Starkey Omega AI. A budget-conscious individual might find the ReSound Savi provides excellent connectivity and sound quality without premium AI processing.

We carry hearing aids from leading manufacturers specifically to provide options that match different needs and budgets. Our goal is finding the right fit for you, not selling the most expensive device on the shelf.

Ongoing Care Ensures Long-Term Success

Proper fitting doesn't end when you walk out of your initial appointment. Hearing aids require maintenance, periodic adjustments, and sometimes repairs. Earwax accumulates and blocks receivers. Batteries need replacement or charging. Domes and wax guards wear out. Software updates improve performance.

We offer lifetime cleaning services at no additional charge because we know that well-maintained hearing aids perform better and last longer. We remain available to address concerns, make programming changes, and troubleshoot issues as they arise. This ongoing relationship ensures your investment continues delivering value year after year.

Your hearing may also change over time, requiring updated programming or even new hearing aids eventually. Regular hearing evaluations help us track these changes and adjust your treatment plan accordingly.

Experience the Difference Proper Fitting Makes

If you're considering hearing aids, or if your current devices aren't meeting your expectations, we invite you to experience the difference that comprehensive, professional fitting makes. Our practice serves Los Gatos and the surrounding communities with honest, affordable hearing healthcare and exceptional service.

Schedule a comprehensive hearing evaluation at our Dardanelli Lane office by calling (408) 540-7128. We'll take the time to understand your hearing loss, your lifestyle, and your goals. Together, we'll select and fit hearing aids that truly transform your ability to hear and connect with the people and activities you love. Your journey to better hearing deserves the expertise and care that ensures success from day one.

Dr. Marni Novick
Founder & Audiologist

Marni Novick, AuD, is founder of Silicon Valley Hearing, Inc., which opened its doors in 2014, with the promise of delivering honest and affordable hearing health care, along with exceptional customer service to her valued patients.

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