Do hearing aids help tinnitus? What research says
Hearing aids can make tinnitus less noticeable for people with hearing loss, and this guide explains what research and guidelines say about who tends to benefit.
Published Oct 9, 2026 4 minute read
If you have tinnitus and some hearing loss, hearing aids are often one of the first options an audiologist will talk through with you. Research on hearing aids for tinnitus has grown stronger recently, and clinical guidelines in the US and UK point people with both conditions toward a hearing aid assessment. The picture is less clear for people with normal hearing, which is why a hearing test comes first.
How hearing aids can help with tinnitus
Tinnitus often comes with some degree of hearing loss, and many people are surprised to learn they have any. When hearing fades, everyday background sound gets quieter, so the tinnitus has less to compete with. Hearing aids bring those sounds back up, which can make the tinnitus less noticeable. They make conversations easier too, which can ease the strain of listening over the tinnitus.
Some hearing aids include a built-in sound generator that plays a soft, steady sound, such as gentle noise or ocean-like tones. Devices that amplify sound and generate it in one unit are often called combination hearing aids.
What the research shows
The strongest recent evidence comes from a French trial published in October 2026. Adults with bothersome tinnitus and mild hearing loss were fitted with hearing aids and placed by chance into three groups, including a placebo group whose devices did not make sound any louder. After 12 weeks, the two active groups improved far more on a standard tinnitus questionnaire than the placebo group did. We cover the details in our article on the sound therapy trial.
Earlier research was harder to read. A 2018 Cochrane review of eight trials found that people using hearing aids, sound generators, or combination devices improved, with no clear difference between the device types. None of those trials compared a device with a placebo or with no device, which left open how much the devices themselves were helping. The French trial was one of the first designed to answer that question.
A separate Cochrane review, updated in August 2026, looked at hearing aids for adults with mild to moderate hearing loss. It found that hearing aids probably make a large difference to how well people can take part in everyday situations. Its focus was hearing and daily life, and it shows why treating hearing loss is worthwhile on its own terms.
What clinical guidelines say
In the US, the 2014 tinnitus guideline from the American Academy of Otolaryngology-Head and Neck Surgery Foundation recommends a hearing aid evaluation for people who have hearing loss and persistent, bothersome tinnitus. In the UK, guidance from the National Institute for Health and Care Excellence (NICE), published in 2020, says to consider offering a hearing aid to people with tinnitus whose hearing loss affects their ability to communicate.
Both recommendations are aimed at people who have hearing loss. For people whose hearing loss does not cause day-to-day difficulty, NICE says it is uncertain whether hearing aids help with tinnitus and lists this as a question for future research.
Who tends to benefit most
- People with hearing loss and bothersome tinnitus. This is the group where research and guidelines line up most closely.
- People with mild hearing loss. The French trial found benefits in people whose average hearing was close to the normal range. If you have been told your hearing loss is too mild to treat, it is worth asking about this.
- People whose tinnitus is worst in quiet places. Hearing aids and built-in sound generators add sound to quiet rooms, where some people notice their tinnitus most.
For people with normal hearing, the evidence is thinner. A sound generator on its own, or cognitive behavioral therapy, may be worth discussing instead, and a tinnitus clinic can help you weigh the options.
What getting hearing aids for tinnitus involves
- A hearing test and tinnitus assessment. An audiologist checks your hearing and asks how tinnitus affects your sleep, focus, and daily life.
- Fitting and setup. If hearing aids are a good fit, they are programmed to your hearing. A built-in sound generator can be switched on and adjusted if it suits you.
- Follow-up visits. Return visits give you a chance to fine-tune the settings as you get used to them.
Over-the-counter hearing aids are sold in stores and online for adults with perceived mild to moderate hearing loss, and some include tinnitus features. The FDA requires their packaging to carry a warning for people who hear ringing or buzzing in only one ear. It tells them to see a doctor, ideally an ENT (a specialist in ear, nose, and throat conditions). Tinnitus can sometimes point to a medical issue that needs checking. A tinnitus assessment with an audiologist is a good first step before buying any device, and your audiologist can refer you to an ENT if anything needs a closer look.
Find a tinnitus clinic near you
A tinnitus clinic can test your hearing, explain whether hearing aids are likely to help with your tinnitus, and talk through other options if they are not the right fit. Every clinic listed on Tinnitus Support treats tinnitus, and each profile shows which treatments it offers. Search your city in our clinic directory to find care close to home. When you book, ask what is included in a hearing aid fitting and how follow-up visits work.
Sources
- Fournier P, Thai-Van H, Reynard P, et al. Efficacy of sound therapy in chronic tinnitus patients with mild hearing loss. A multicentre, double-blind, placebo-controlled randomized clinical trial. Scientific Reports, 2026.
- Sereda M, Xia J, El Refaie A, Hall DA, Hoare DJ. Sound therapy (using amplification devices and/or sound generators) for tinnitus. Cochrane Database of Systematic Reviews, 2018.
- Ferguson MA, Sarant JZ, Bennett RJ, et al. Hearing aids for mild to moderate hearing loss in adults. Cochrane Database of Systematic Reviews, 2026, Issue 8.
- Tunkel DE, Bauer CA, Sun GH, et al. Clinical practice guideline. Tinnitus. Otolaryngology-Head and Neck Surgery, 2014.
- National Institute for Health and Care Excellence. Tinnitus. Assessment and management (NG155). 2020.
- US Food and Drug Administration. OTC hearing aids. What you should know.