Everyone knows that your hearing gets worse with age, but it may still take you by surprise when it happens to you. One in three adults between the ages of 65 and 74 have hearing loss in the U.S., and almost half of people older than 75 have trouble hearing. Lifestyle plays a large role in when, if at all, you start having trouble hearing. Frequent exposure to loud noises, smoking, and whether or not it runs in your family heavily influences age-related hearing loss. Typically age-related hearing loss starts slowly and gradually progresses equally in both ears.