In the early stages of presbycusis you may find it difficult to hear high-frequency sounds. Speech falls into this category so understanding spoken word becomes more challenging as time goes on, especially in busy environments with a lot of background noise. This type of hearing loss happens slowly, so it can take time to realise you are not hearing as well as you used to.
Over time, presbycusis will start to impact other frequencies as well. Identifying where a sound is coming from and recognising its source can become difficult. You may also experience tinnitus
(ringing in the ears), dizziness, and problems with your balance.