Women generally hear more sensitively than men, but their hearing changes in a different pattern with age. Midlife brings bodily changes that can affect hearing, so recognising early signs and taking steps to protect it is important.
Recent research shows that women consistently have more sensitive hearing than men, about two decibels on average, regardless of age or location. This biological advantage reflects differences in hormone exposure and cochlear structure, making women’s hearing naturally sharper. Compared with men, women may experience hearing loss later but can also be more sensitive to everyday noise, which can affect sleep, concentration and overall wellbeing.
Unlike men, whose hearing often declines from their 30s, women usually maintain good hearing until around the age of 50. Research suggests that hormonal shifts around peri-menopause and menopause can trigger a relatively rapid decline, often beginning in the left ear. This unique timing means women’s hearing loss patterns differ from men’s and highlight the complex role of estrogen in protecting hearing.
Hearing loss in women can develop gradually, making it easy to miss the first signs. You might notice difficulty following conversations, especially in noisy environments, or needing to turn up the volume on the TV, phone or music. Some women experience ringing, buzzing or hissing sounds in their ears, known as tinnitus. Others find it harder to hear high-pitched sounds, like alarms, doorbells or birdsong. Paying attention to these subtle changes is especially important for women, whose naturally sharper hearing can make everyday noises more noticeable but also mask gradual decline.
Even with natural age-related changes, women can take steps to preserve their hearing. Limiting exposure to loud environments, such as concerts or other noisy settings, can reduce the risk of damage over time. Using ear protection, like earplugs or earmuffs, when needed is an easy and effective safeguard.
Regular hearing checks are also important, particularly around midlife or if you notice changes in your hearing. Maintaining overall health, including managing blood pressure, diabetes and other conditions, can also support hearing. Small consistent actions can make a significant difference to long-term hearing.
If you notice changes in your hearing, a qualified audiologist can assess your hearing, identify any loss and recommend next steps. For some women, hearing aids or other assistive devices can make a significant difference, improving clarity in conversations and helping manage symptoms such as tinnitus. In New Zealand, ACC support may also be available if hearing loss is linked to work or injury.
Taking these steps early helps maintain quality of life. Staying on top of hearing helps women remain connected to friends, family, work and social activities, and being aware that their hearing may age differently from men’s can help them take timely steps to protect it.