When it comes to hearing loss, many people turn to the internet or pharmacies looking for a quick fix. A small device that looks like a hearing aid, costs a fraction of the price, and promises to ‘restore your hearing’ can seem like the perfect solution. But not all hearing devices are created equal—and choosing the wrong one could do more harm than good.
Let’s break down the differences between properly fitted hearing aids, over-the-counter (OTC) hearing aids, and amplifiers, and explain why seeing an audiologist first is always the right choice
1. Properly Fitted Hearing Aids: The Gold Standard
What they are:
These are medical devices prescribed and fitted by a qualified audiologist after a full diagnostic hearing assessment. They are customised to your unique hearing profile and adjusted to match the exact frequencies where you experience hearing loss.
Why they work best:
- Tailored programming based on your hearing test results
- Regular adjustments as your hearing changes over time
- Features like noise reduction, directionality, and Bluetooth connectivity
- Support and ongoing care from a hearing healthcare professional
Bottom line: These are designed for true hearing loss and offer the safest, most effective long-term solution. According to the HPCSA (Health Professionals Counsel of SA) hearing aids can only be fitted by qualified and registered audiologists or acousticians.
2. Over-the-Counter (OTC) Hearing Aids: A New Category
What they are:
OTC hearing aids are self-fit devices approved for sale without a prescription in some countries. They’re intended for adults with mild to moderate hearing loss, and while they offer some degree of personalisation, they don’t replace professional care.
Pros:
- More affordable than professionally fitted devices
- Accessible for people who may not be ready to visit an audiologist
- Offer basic hearing improvement features
Cons:
- One-size-fits-most approach
- No diagnostic hearing test involved
- Not suitable for complex hearing needs
Bottom line: A good stepping stone for some, but not ideal for anyone with more than mild hearing difficulties.
3. Personal Sound Amplifiers (PSAPs): Buyer Beware
What they are:
These are not hearing aids. Personal Sound Amplification Products (PSAPs) are devices that simply make all sounds louder—they aren’t tuned to your hearing profile and can’t differentiate between useful sounds (like voices) and background noise.
The risks:
- Can amplify background noise and make communication harder
- May worsen your hearing over time by over-amplifying sound
- No customisation or medical regulation
- Often marketed misleadingly as “affordable hearing aids”
Bottom line: These are not medical devices and not recommended for use.
Why a Hearing Test Should Always Come First
Many people assume that a cheap amplifier or OTC device is “close enough” to a hearing aid—but that’s like guessing your prescription and buying over-the-counter glasses without ever checking your eyesight.
A proper hearing assessment by an audiologist doesn’t just look at how loudly you hear, but how well you understand speech, what frequencies you struggle with, and whether there’s an underlying medical issue that needs attention.
At Candice van Heerden Audiology, we believe in getting to the root of your hearing difficulties. We’ll guide you through your options with honesty and expertise—so you can make an informed decision for your long-term hearing health.
In Summary: Know the Difference
| Feature | Audiologist-Fitted Hearing Aids | OTC Hearing Aids | Amplifiers / PSAPs |
| Based on diagnostic test? | ✅ Yes | ❌ No | ❌ No |
| Custom-fit to user? | ✅ Yes | ⚠️ Limited | ❌ No |
| Designed for hearing loss? | ✅ Yes | ✅ Yes (mild/moderate) | ❌ No (general sound only) |
| Medical device? | ✅ Yes | ✅ Yes | ❌ No |
| Risk of further damage? | ❌ No | ⚠️ Possibly | ✅ High risk |
Don’t Risk Your Hearing
If you’re experiencing signs of hearing loss, don’t gamble on a cheap solution. Book a diagnostic hearing test with a qualified audiologist and get the care you deserve.
Book a consultation at CVH Audiology by calling 011 615 3047 or emailing candice@cvhaudiology.co.za. and take the first step toward better hearing, the right way.
