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07/10/2024 | Press release | Distributed by Public on 07/10/2024 20:08

Do Earbuds Cause Hearing Loss

Key takeaways:

  • It's common for people who use earbuds to have noise-induced hearing loss.

  • Earbuds usually cause hearing loss when you listen to music that's too loud. They can also cause hearing loss if you listen to music for too long, even if the volume is low.

  • Earbuds aren't more dangerous than headphones. They both cause hearing loss in the same way.

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These days, smartphones allow you to listen to music, podcasts, audiobooks, and more wherever you are. Advances in earbuds and headphones let you tune in almost anytime. As a result, lots of people are listening to their earbuds at high volumes for many hours per day. But is all of this noise safe?

While it's possible to use earbuds safely, lots of people unknowingly put themselves at risk for hearing loss. This is because hearing loss can be caused by listening to things that are too loud or for too long - even when the volume isn't very high.

So, exactly how loud is too loud? And when should you take your earbuds out to give your ears a rest? Keep reading to learn how earbuds can affect your hearing.

EXPERT PICKS: WHAT TO READ NEXT
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  • Can medication cause hearing loss? Read about seven common medications that can affect your hearing.

  • Do you need a hearing aid? Here's when to consider a hearing aid, even if you only have mild hearing loss.

Are earbuds bad for your ears?

Whether earbuds are bad for your ears depends on how you use them. If earbuds are used the right way, they can be perfectly safe.

But unfortunately, it's all too easy to use them incorrectly - and put your hearing at risk.

Imagine you're walking down a loud street, listening to music through your earbuds. It's natural to turn up the volume to hear your music over the bustling sounds of the street. Or you might leave your earbuds in to listen to music for hours on end while doing other activities. While these habits may not seem like a big deal, they can both put you at risk for hearing loss.

Your risk depends on two things: how loud you listen and how long you listen. For example, listening to music at 105 decibels (dB) can cause permanent hearing loss in as little as 15 minutes - 105 dB is roughly as loud as a subway car. On the other hand, if you listen at just 75 dB - about the volume of an average vacuum cleaner - you can safely listen to anything for over 16 hours.

Most people use earbuds at volumes between 75 dB and 105 dB, so how dangerous they are depends on how loud and how long you use them.

How does noise damage your hearing?

Your inner ear contains thousands of tiny hairs called stereocilia. These hairs help your body convert sound waves into chemical reactions that your brain interprets as noise. When your ears are exposed to sounds that are too loud or for too long, these stereocilia can become damaged, potentially leading to hearing loss.

What hearing problems can result from wearing earbuds?

Earbuds can cause noise-induced hearing loss (NHL). Noise-induced hearing loss is exactly what it sounds like - it's what happens when too much noise causes you to lose your ability to hear.

NHL is a type of sensorineural hearing loss, meaning your ears have a problem sensing and transmitting sounds (as opposed to conductive hearing loss, where a physical blockage interferes with hearing).

NHL can happen in two ways: suddenly or over time. Sudden hearing loss happens when you hear a short, loud noise. This can happen at volumes of about 140 dB, which is the volume of a nearby siren or gunshot. But most earbuds don't get this loud, so it's rare for them to cause sudden NHL.

Gradual NHL happens after years and years of listening to volumes that are just a bit too loud. Most people who get NHL from earbuds get it this way. Because gradual NHL happens so slowly, some people don't notice the hearing loss until it's too late.

And unfortunately, you can't typically reverse hearing loss from headphones or earbuds.

If you use earbuds, what hearing loss symptoms should you watch for?

If you're worried about noise-induced hearing loss from your earbuds, watch out for the following symptoms:

  • Sounds seem distorted or muffled

  • Difficulty hearing high-pitched sounds

  • Trouble understanding people, especially in loud or crowded places like restaurants or parties

  • Difficulty hearing someone over the phone

  • Difficulty telling the difference between certain sounds (like not telling the difference between the letters "s" and "f")

  • Needing to turn up the volume very high on the TV or radio

  • Frequently asking others to speak up, to speak more clearly, or repeat themselves

  • Certain sounds irritate you or are even painful

  • A ringing in your ears, known as tinnitus


If you experience any of these symptoms, you should see your primary care provider to schedule a hearing test.

How can you prevent hearing loss from using earbuds?

The best way to prevent hearing loss from earbuds is to turn the volume down. If your volume is low enough, you don't have to worry about how long you use your earbuds. A good rule of thumb is to see if you can hear a normal conversation while wearing your earbuds. If you can, your volume is probably at a safe listening level.

Most modern smartphones also include headphone safety features to help protect your hearing. By using these features, you can limit the volume coming from your earbuds. This is helpful because you'll never have to wonder if your volume is too high ever again - your phone simply won't allow your earbuds to get too loud.

Here's how to set up volume limits on your smartphone:

The World Health Organization recommends setting the volume levels to 80 dB or below, or about 60% of the maximum possible volume. You can also access these features with parental controls to limit the volume on your child's device.

Can noise-canceling earbuds protect your ears?

Possibly. People often listen to music at dangerously high volumes to drown out environmental noise. But noise-canceling earbuds automatically cancel out most environmental noise. This means you don't need to turn the volume up as high, making it safer for your ears.

Which is better for your ears: Earbuds or headphones?

Because earbuds fit inside your ear canal, lots of people think they can cause more hearing loss than headphones.

But the truth is that it doesn't matter whether you use earbuds or headphones. Neither is more dangerous than the other. The only things that matter when it comes to hearing loss are volume levels, and time. It doesn't matter what's making the noise.

That said, headphones can sometimes be safer than earbuds because they often block outside noise better. Many headphones cover your entire ear, which muffles noise from the outside world (even if they aren't technically noise-canceling). This lets you listen at lower volumes, which can help protect your hearing.

Should you be worried about radiation exposure from wireless earbuds?

The short answer is no. Like cell phones and televisions, wireless Bluetooth earbuds emit radiofrequency radiation. But radiofrequency radiation is both low frequency and low energy. This means it's not powerful enough to damage DNA. (High-energy radiation, like X-rays and radon, can damage DNA.)

While the human body does absorb radiofrequency radiation, the amount is not enough to negatively affect you in any way. According to the National Cancer Institute, there are no "dangerous health effects on the human body from radiofrequency radiation." In other words, you can use earbuds without worrying about radiation.

The bottom line

Earbuds can be dangerous for your hearing, but not necessarily for the reasons you might think. Earbuds aren't dangerous because they sit inside your ear canal or emit radiation. They're dangerous simply because they make noise. Listening to any noise that's too loud or for too long can permanently damage your hearing, a condition known as noise-induced hearing loss.

To protect yourself, keep the volume low when using earbuds or headphones. Ideally, you should keep the volume under 80 dB, or no more than 60% of your device's maximum volume. And if you've noticed any signs of hearing loss, be sure to check in with a healthcare professional to talk about next steps.

Why trust our experts?

Written by:
Farzon A. Nahvi, MD
Dr. Nahvi is an emergency medicine physician and author of "Code Gray: Death, Life, and Uncertainty in the ER." He works clinically at Concord Hospital in Concord, New Hampshire, and is a clinical assistant professor of emergency medicine at the Geisel School of Medicine at Dartmouth.
Edited by:
Sophie Vergnaud, MD
Sophie Vergnaud, MD, is the Senior Medical Director for GoodRx Health. An experienced and dedicated pulmonologist and hospitalist, she spent a decade practicing and teaching clinical medicine at academic hospitals throughout London before transitioning to a career in health education and health technology.
Reviewed by:
Sarah Gupta, MD
Sarah Gupta, MD, is a licensed physician with a special interest in mental health, sex and gender, eating disorders, and the human microbiome. She is currently board certified by the American Board of Psychiatry and Neurology.

References

American Speech-Language-Hearing Association. (n.d.). Conductive hearing loss.

Apple. (n.d.). Adjust the volume on iPhone.

View All References (9)
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Centers for Disease Control and Prevention. (2024). Signs of noise-induced hearing loss.

Everett, C. (2023). What Is sensorineural hearing loss? National Council on Aging.

Krug, E., et al. (2015). Make listening safe. World Health Organization.

National Cancer Institute. (2022). Electromagnetic fields and cancer. National Institutes of Health.

National Cancer Institute. (2024). Cell phones and cancer risk. National Institutes of Health.

National Institute for Occupational Safety and Health (NIOSH). (2024). Understanding noise exposure. Centers for Disease Control and Prevention.

National Institute on Deafness and Other Communication Disorders. (2022). Noise-induced hearing loss. National Institutes of Health.

Nield, D. (2022). How to set a maximum limit on your phone's volume. Wired.

World Health Organization. (2024). Deafness and hearing loss: Safe listening.

GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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