Domes or try custom molds

Looking at your audiogram, in my opinion you do need to be in custom earmolds. The rule of thumb 40 dB loss applies to you.
Good luck

In my case, custom molds noticeably improved speech recognition (and in general the “palette” of sounds became richer). Because with them, more frequencies reach the ear, and not “run away” in the opposite direction.
Another plus of custom molds: they are inserted into your ears the same way every time, and therefore the sound is always the same.
In my case, domes sat in my ears a little differently each time, this greatly affects the sound. Sometimes it’s a little better. Sometimes a little worse. Sometimes it’s terrible.
P.s. In my opinion, custom molds have only one drawback: they can interfere with chewing.
Or maybe not.
Depends on the skill of the earmold manufacturer.
But with domes a similar problem: they can squelch when chewing or move and cause discomfort.

@MDB: Hmmm - Comfort may be in the ear of the wearer.

I was always conscious of having domes in my ears, when I wore them. I couldn’t get used to them, because they felt like bugs in there.

Since my hearing worsened to the point of requiring moulds (acrylic), I’ve had 3 out of 3 great sets of moulds that could be worn comfortably for 16+ hours at a stretch.

Sorry to disagree on comfort.

MDB is also right about the word recognition issue being a higher frequency problem. Very difficult to get perfect advice from afar. If your audi can’t solve it with tuning to improve word recognition, then you might simply have to experiment with molds. I do know that I hear better with molds than domes.

Word recognition in noisy environments is a problem that may not have a solution. I avoid noisy environments.

Note: I said IF your current domes are comfortable. I was trying to give specifics of how molds might help (or not)

Molds have definitely helped in my case as we were able to move the gain up to my prescriptive target. that has helped me a lot with speech.

Unfortunately we are not on our 4th try with attempting to get a pair that both stay in place and are comfortable. Either they don’t stay in place or are painful. Can’t seem to have both at this point. I do have small ear canals apparently which is presenting a real challenge.

Jim

I thought I had read from a couple of sources that the recommendation for custom earmolds was 75 dB losses. Where does the 40 dB rule of thumb come from?

Perhaps I misunderstood, and this may then be why the Kaiser Audiologist (not the source of my HAs btw) recommended I consider closed domes or molds. At his advice I was looking into it, but stopped after I read about the 75 dB threshold.

Chiming in with my own 2-cents’ worth of experience, having used both CUSTOM molds and the softer silicone domes. Don’t think that CUSTOM is the total answer! Indeed, they can slip around in the ear canal and start to extrude due to moisture, humidity and even your own articulation as you laugh, smile and YELL throughout the day.

Custom molds can also HURT if they aren’t done right or if you have a tendency for swelling in the ear canals as I do when waking up. Dang things would not FIT until about 10am.

Now it’s also true that silicone domes will extrude throughout the day, and I’ve resigned myself to pushing them IN like folks would push their glasses up the nose to keep them on. It’s just part of the nature of wearing aids. Even the so-called leash, which I had on a pair of aids to help the aids stay in place are pretty useless! The aids may not FALL out of your ears, but they will always still extrude or slip slightly out of the canal throughout the day.

So! My idea (based on my own experience) is go back to the audi and tinker with the settings to boost whatever range helps you hear those words you tend to miss. That’s what I ended up doing, and that alone made the key difference. GOOD luck in getting this total solution to work for you!

@parishd said:

Thanks. Since I hit ~40 dB starting at 1500 Hz, I guess they may be worth a try

Don’t hesitate to do this, custom made molds are the only way to get the best fit, plain and simple for your loss, not everyonnes canals are the same, so domes just don’t always work for everyone,just use uncle Google to see for yourself why molds will work for your loss, so much more fitting possibilities will be available to you. Remember your hitting 70dB in the higher frequencys, so you could eliminate feedback issues as well, Soft silicone ones are pretty good too, really nice fit, you don’t even notice them.

I agree with you! I did try domes with my first RIC hearing, and immediately ordered a custom acrylic earmold. I could not keep the dome in one place. It was either too far in my canal or moving more out. The number one thing for me is keeping the sound source exactly in the same place always! One dome moving can change the stereo effect of having 2 hearing aids. With Custom molds, the hearing aids can be programming without the possibility that one will move and change my perception of hearing. I will never try a dome again! That is my 2 cents worth…

Hi, Fitting a closed dome gives me a “tunnel” effect so I am looking to have a mold made. Is a mold better suited to BTE h/aids as apposed to RIC h/aids. Also which is the best material for the mold. I understand there is rubber, plastic and acrylic.
On a personal note I am amazed by the number of people who are embarrassed at being seen wearing h/aids. These people no doubt have no such reservations about wearing glasses which are to rectify defective sight. Surely h/aids are to likewise rectify defective hearing, so what is the difference.

I have RIC aids. I wouldn’t even think of using domes. The custom ear mold is the best of all worlds. My preference is acrylic. Have been using hearing aids for over 40 years. I wore hearing aids in the old days when they were HUGE. I did not care at all…I just needed the function…my 2 cents worth…