What causes hearing loss in people between the ages of 60 and 70?

Patient's question:

Left ear hearing loss, normal speech is not audible, needs to speak loudly to distinguish. At night when sleeping, it's like a train starting, buzzing. Covering the left ear with hand for a moment, then after releasing, there is a brief hearing recovery.

Doctor's answer:

Patient: Female, 68 years old, with hearing loss in the left ear accompanied by tinnitus.
Advice: Hearing loss can be classified in many ways. Hearing impairment caused by abnormalities in the sound wave conduction pathway (outer ear or middle ear) is called conductive hearing loss. Hearing impairment caused by abnormalities in the sound wave perception and analysis pathway (inner ear, auditory nerve, or auditory center) is called sensorineural hearing loss. When both pathways are affected, it is referred to as mixed hearing loss. Tinnitus is a difficult-to-treat symptom. Hearing loss should be treated as soon as possible, with the best results typically observed within 7 days. After more than a month, the likelihood of recovery is generally low. If covering the ear with the hand leads to some improvement in hearing, it may be helpful to practice this method regularly.

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