Your Trusted, Independent Hearing Service — Est. 2009

Your Trusted, Independent Hearing Service — Est. 2009

Earwax

Why Can’t I Hear Properly After Earwax Removal?

Quick answer

Earwax removal clears a blockage, but it can't fix hearing loss that has another cause. If sounds are still muffled afterwards, it may be a hearing loss the wax was hiding, a hearing aid that needs adjusting, a little wax left behind, or an ear infection. Get urgent advice if the change is sudden, getting worse, or comes with earache or discharge. Otherwise, a hearing test will show what is going on.

Written and clinically reviewed by

John Beharrell

·

Consultant Audiologist

· HCPC

HAD00083

Published

· Updated

· Last reviewed

Key points

  • Removing wax can reveal a hearing loss that the wax was masking.

  • Hearing aid users may need their aids adjusted or repaired.

  • Stubborn wax or debris can sometimes be left behind.

  • Ear pain, discharge or fever after removal may mean an ear infection.

  • If we removed your wax and your hearing hasn't come back, contact us for your free follow-up check and we'll advise on next steps.

A smiling older couple sitting close together outdoors

If your hearing still seems muffled after microsuction or ear irrigation, it can be frustrating and a little worrying. Earwax is a common cause of hearing loss, but it isn't the only one. This guide explains the most likely reasons and what to do next.

Why can sound still be muffled after wax removal?

Removing wax clears a blockage, but it can't fix a hearing problem that has a different cause. The diagram shows where each of the four most common reasons for muffled hearing after professional earwax removal happens.

Cross-section of the ear showing where each cause happens: 1, the cochlea in the inner ear, where a hearing loss the wax was hiding sits; 2, a hearing aid receiver and dome in the ear canal; 3, wax left deep in the ear canal; 4, infection, either in the outer ear canal or as fluid in the middle ear behind the eardrum.

1. A hidden hearing loss

Wax can hide a hearing loss that was already there, so you only notice it once the wax has gone. The most common causes of gradual hearing loss are getting older and years of exposure to loud noise. Congestion or allergies can also leave your ears feeling blocked for a while. A hearing test with an audiologist will show what's going on.

2. Your hearing aid needs a check

If you wear hearing aids, they may need cleaning, adjusting or repairing. Book an appointment with your audiologist. They can check your hearing, fine-tune your hearing aids or arrange a repair.

3. Some wax was left behind

Sometimes, despite the best efforts, impacted earwax, particularly if it's been compacted for a long time, or wax located in hard-to-reach areas of the ear canal, can leave behind stubborn remnants that continue to block some sound. If you think some wax was left behind, contact us. Interhearing includes a free clinical follow-up within 4 weeks of your first appointment. The video below shows what wax looks like through our video otoscope during microsuction.

Had your wax removed somewhere else and still feel blocked? Our ear care specialists can check your ear and remove any wax left behind with microsuction, from £65 for both ears. Book ear wax removal or call 0800 002 9503.

Ear wax removal by microsuction, filmed through an Interhearing video otoscope

4. An ear infection

You may also have an ear infection that affects your hearing. Signs include earache, discharge, itching and a high temperature. An ear care specialist can look inside your ear and tell you if it looks infected. If you need antibiotics or prescription ear drops, a GP can prescribe them. In the meantime, keep water out of the ear and don't put anything in it.

If you can also hear ringing or buzzing, read can ear wax cause tinnitus?

Sounds still muffled?

A hearing test will show what's going on.

An audiologist removing earwax from a patient's ear using microsuction, a fine suction tube guided under magnification

How long should I wait before getting it checked?

Don't wait if your hearing changes suddenly, keeps getting worse, or you have earache or discharge. Get urgent advice the same day from your GP or NHS 111.

Otherwise, if your hearing hasn't come back after earwax removal, see an ear care specialist. If we removed your wax, contact us for your free follow-up check.

How do I know if I have hearing loss?

If you're still struggling to hear after ear wax removal, these questions can help you decide whether to have a hearing test.

  • Do people seem to be mumbling?

  • Do you strain to hear when someone talks or whispers?

  • Do you have difficulties hearing someone talking from another room or standing behind you?

  • Do you need to watch a person's lips more closely to follow the conversation?

  • Do you find it hard to keep up in meetings, restaurants or lectures?

  • Do you have to turn up the volume on the TV or radio?

  • Do you find it hard to hear clearly on the telephone?

  • Do you tend to limit your social activities because it can be difficult to hear and communicate?

  • Do family, friends or colleagues often have to repeat themselves?

If you answered 'yes' to some of these, you may have some hearing loss. A hearing test is the way to find out.

What should I do next?

Book a hearing test. It can show whether there's an underlying hearing loss and explain why you might still be struggling after earwax removal. Some people like to start with a basic online hearing test before booking a full assessment.

If the test shows you would benefit from hearing aids, you can try them in your everyday life first with our 14-day free hearing aid trial, with no obligation to buy.

If you already wear hearing aids and they don't seem to be working as well as they should, book an appointment with your audiologist. They can reassess your hearing, adjust your hearing aids or arrange a repair.

Why it's worth acting early

It can be hard to accept that your hearing has changed, but dealing with it early has real benefits, including:

  • Improved communication and understanding of speech

  • Reduced fatigue and stress from straining to hear

  • Enhanced enjoyment of music, movies and social activities

  • Better overall wellbeing, with less isolation and depression

Hearing loss in mid-life is also linked to a higher risk of dementia, although it isn't yet clear whether hearing aids can prevent it (Alzheimer's Society).

Why see an Interhearing ear care specialist?

  • We use microsuction, a precise, water-free method, carried out while the clinician looks into your ear under magnification.

  • No GP referral needed. We can usually see you within 3 days, and offer same-day appointments where possible.

  • Wax removal costs from £65 for both ears. If we can't clear it all at the first visit, follow-ups are free (book within 4 weeks).

  • We're independent and family-run, with over 19,000 patients and clinics in Shrewsbury, Telford, Wolverhampton, Church Stretton, Oswestry, Chester, Powys, Warrington and Reading.

  • Our audiologists also offer hearing tests and a 14-day free hearing aid trial, so you can sort out wax and hearing in one place.

What our patients say

★★★★★ “…managed to fit me in the next day as I had got a problem. Seen exactly on time by Judy, who is highly professional and knowledgeable… Took her advice and subsequently contacted my GP practice who have provided topical treatment for a slight ear infection.” David, Shrewsbury

★★★★★ “Easy to book an appointment and procedure took place at the appointed time, which was painless and carried out quickly. I noticed an improvement in my hearing immediately afterwards.” Danny, Reading

★★★★★ “Having my dad's ears done here really improved his hearing after years of having them syringed.” Mrs S, Wolverhampton

Book ear wax removal online or call 0800 002 9503 (Monday to Friday 8am to 6pm, Saturday 9am to 1pm).

In short

If you still can't hear properly after earwax removal, the cause is usually a hearing loss the wax was hiding, a hearing aid that needs attention, a little wax left behind, or an ear infection. Get urgent advice if the change is sudden or comes with pain or discharge. Otherwise, book a hearing test to find out what's going on.

Next step

Still struggling to hear after wax removal?

Book a hearing test

Sources

  1. NHS: Hearing loss (reviewed 30 May 2025; accessed 26 Oct 2026)

  2. NHS: Earwax build-up (reviewed 5 Jan 2024; accessed 26 Oct 2026)

  3. NHS: Ear infections (reviewed 16 Jan 2025; accessed 26 Oct 2026)

  4. NICE NG98: Hearing loss in adults, recommendations 1.1 and 1.2 (updated 2 Oct 2023; accessed 26 Oct 2026)

  5. Alzheimer's Society: Hearing loss and the risk of dementia (accessed 26 Oct 2026)

  6. NHS 111 online

Clinically reviewed by

Consultant Audiologist

BSc, MSc

HCPC-registered, HAD00083