You will be surprised at the probable increase in your hearing after the ENT cleans out your ears, I always do. I have decided it comes with wearing HAs. It may have to do with the anatomy and structure of your ear. My canals are very small and I only allow my ENT to do the job. Be careful who you allow to do so. I once allowed a hearing aid dispenser to clean out my ears and she really hurt me. Never let someone except a doctor of audiology or ENT clean out your ears. After you notice the difference Monday you will probably want to make future appointments with the ENT about every 3-6 months. I sure would like to know if you notice a change in your hearing. Best to you.