The first step is a thorough exam and a hearing test, which is done in our office through our partnership with the audiologists at American Hearing & Balance. For some patients with hearing loss, the solution is earwax removal. For others there are medical and even surgical options. For many people a hearing aid may be the solution. Hearing aid technology has advanced substantially in recent years and there are several options ranging from external hearing devices to implantable systems. Bluetooth technology is also available, as is a feature to mask the sound of tinnitus, also known as ringing in the ears.