What a Real Ear Measurement Appointment Feels Like

Written by
Reviewed by
Dr. Laura Pratesi
September 27, 2026
What a Real Ear Measurement Appointment Feels Like
"We came in to screen my 5y old hearing. The staff is super friendly, scheduled an appointment the same day and made sure I was well informed. My son had lots of fun during his test everyone was super friendly and at the end he even received a little gift."
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If you've never had Real Ear Measurement done before, the name alone can sound a little intimidating. A microphone in your ear canal? Sounds like more than it is. Most patients walk out surprised at how quick and painless the whole thing turned out to be, and honestly a little annoyed they didn't know about it sooner.

Getting Settled In

You'll sit in a comfortable chair, the same one you'd use for a hearing test. Our audiologist will explain what's about to happen before touching your ear, so there are no surprises. This isn't a procedure you have to brace for. You're not going to feel pain, pressure, or anything close to it.

The first physical step is an otoscopic exam, just a quick look inside your ear canal with a lighted scope. We're checking for wax buildup or anything else that might affect the measurements. If there's excess wax, we'll want to clear that first. Otherwise, we move straight ahead.

The Tiny Microphone

Here's the part that sounds strange until you experience it. A thin silicone tube, about the width of a piece of spaghetti, gets placed gently into your ear canal alongside your hearing aid. That tube is connected to a probe microphone that measures sound directly near your eardrum, the same spot where your hearing actually happens.

You might feel a light tickle as it goes in. That's it. No pinching, no discomfort, nothing that lingers. Most patients say it feels less invasive than getting an ear exam at a regular doctor's office.

Once it's in place, we run a series of calibrated sounds through your hearing aid while it's still in your ear. Speech sounds, soft tones, louder tones, a whole range designed to mimic real listening situations. You don't have to do anything during this part. No button pressing, no raising your hand when you hear a beep. Just sit and let the equipment do its work.

Watching the Numbers Match Up

This is where the real value shows up, even if you can't see it happening. Your audiologist is comparing how your hearing aid is actually performing in your ear against targets calculated from your specific audiogram. Everyone's ear canal is shaped a little differently, and that shape changes how sound bounces around and reaches the eardrum. Two people with identical hearing loss can need completely different amplification settings just because of that anatomy.

Without this step, hearing aids get programmed to averages. Averages work fine for some people and poorly for others, and there's no way to know in advance which group you're in. That's the whole reason Real Ear Measurement exists as a service on its own. It replaces a guess with a measurement.

If a frequency is coming in too soft or too loud compared to target, we adjust the hearing aid settings right then and check again. This back and forth might happen a few times across different frequencies. It's not slow or tedious from your seat, more like watching someone fine-tune an instrument until it's in tune.

What You'll Notice Afterward

The whole appointment typically runs 20 to 30 minutes for both ears. Compare that to weeks or months of trial and error trying to figure out why your hearing aids feel "off" in some situations. Many of our patients who've had hearing aids fitted elsewhere, without this verification step, come to us specifically because something never quite clicked. After REM, they often notice speech sounding clearer almost immediately, particularly in conversations that used to feel muddy or effortful.

Your audiologist will explain the adjustments in plain terms, what changed and why, so you understand your prescription rather than just trusting a number on a screen. This step connects directly to your broader hearing aid journey, from your initial hearing aid evaluation through your hearing aid fitting, with REM acting as the verification that ties it all together.

Schedule Your Real Ear Measurement in Clermont

We built our practice around doing this the right way. As a family-owned clinic with no manufacturer ties, our Doctors of Audiology have no incentive to skip verification steps that take a little extra time but make a real difference in how your hearing aids perform day to day. If you're getting new devices, or you've had hearing aids for a while that never quite felt right, this appointment could be the missing piece.

Call us at 352-989-5123 to schedule your Real Ear Measurement appointment at our Clermont location.

Dr. Laura was born with a progressive hearing loss, and is currently a bilateral hearing aid user. She graduated from Auburn University with her Bachelor of Science in Communication Sciences and Disorders in 2008. She then was the youngest person to complete Auburn’s Doctor of Audiology program, graduating in 2012.

Contact us

Phone Number

352-989-5123FAX 352-989-5028
English and Spanish

Clinic Location

835 7th Street, Suite 2
Clermont, FL 34711

Opening Hours

Monday - Friday: 9:00AM - 5:00PM
Saturday - Sunday: Closed