Age-related hearing loss or presbycusis is mainly caused by changes in the inner ear. However, your genes and loud noises (such as from rock concerts or music headphones) may play a large role. Initially there is difficulty in hearing high-frequency sounds, such as someone talking. As hearing gets worse, it may become difficult to hear sounds at lower pitches. Hearing aids Telephone amplifiers and other assistive devices may be helpful. A cochlear implant (Surgery) may be recommended for certain women with very severe hearing loss. The implant makes sounds seem louder, but does not restore normal hearing