The tympanometry test is a quick, painless method for assessing how well your middle ear is working. By measuring eardrum movement and air pressure, this simple diagnostic tool helps identify problems such as fluid build‑up, pressure changes or stiffness in the middle ear. It forms an important part of the comprehensive hearing assessments offered at The Forbury Clinic’s Audiology Department, helping patients maintain clear hearing and good middle ear health.
Understanding Tympanometry
Tympanometry is a test that measures how your eardrum (tympanic membrane) responds to small air pressure changes. It evaluates the flexibility and movement of the eardrum, helping clinicians detect issues like fluid retention, Eustachian tube dysfunction, or thickened eardrums that affect sound transmission.
As part of the diagnostic process, tympanometry provides valuable data about middle ear function and pressure regulation. It is a routine element of hearing assessments at The Forbury Clinic’s Audiology Department, providing essential insight before any further ear or hearing treatment decisions are made.
When Tympanometry Is Recommended
Tympanometry is often performed when patients report hearing changes, a sense of ear fullness, or pressure problems. It can also help confirm whether infections or congestion have affected middle ear function following a cold or sinus infection.
Common reasons this test may be recommended include:
- Suspected middle ear fluid (glue ear)
- Ear fullness, popping, or pressure after flying or colds
- Hearing loss due to Eustachian tube dysfunction
- Ongoing or recurrent ear infections
- Monitoring progress after ear treatment or surgery
Audiologists may combine tympanometry with standard hearing tests to provide a full picture of middle ear health and accurately identify the underlying cause of symptoms.
What Tympanometry Can Detect
The tympanometry test measures how your eardrum responds under different pressure conditions, producing a graphic result known as a tympanogram. This visual trace helps audiologists identify which part of the ear may be affected and what type of problem is present.
Fluid Behind the Eardrum
Reduced eardrum movement often points towards fluid build‑up or mucus in the middle ear. This is a common cause of muffled hearing or pressure, particularly after colds or in children with glue ear.
Eustachian Tube Dysfunction
If the tympanogram shows negative pressure readings, it may suggest poor middle ear ventilation due to partial blockage of the Eustachian tube. This can cause clicking, popping, or mild hearing loss.
Stiff or Perforated Eardrum
A flat or unusually rigid result could indicate that the eardrum is thickened, scarred (following infection or surgery), or perforated. Identifying these changes helps clinicians plan safe follow‑up care or repair where needed.
Ossicular (Middle Ear Bone) Conditions
Abnormal tympanometry patterns can also indicate problems with the tiny middle ear bones (ossicles) that carry sound. This may suggest fixation, dislocation or damage that can contribute to conductive hearing loss.

What to Expect During Your Tympanometry Test
The tympanometry test is completely safe, takes just a few minutes, and requires no special preparation.
During the procedure, a soft rubber probe is gently placed in the ear canal to create brief, controlled air pressure changes. As these occur, the device measures how well the eardrum moves and records the results on a screen. Most patients only notice a slight feeling of pressure, similar to descending in an aircraft, which disappears as soon as the test ends. Your audiologist will explain your readings afterwards and advise on any next steps.
Benefits for Your Ear and Hearing Health
Tympanometry provides fast and accurate insight into middle ear function without the need for medication or invasive procedures. It helps clinicians distinguish between hearing loss caused by ear wax, fluid or structural issues, providing a clear route to effective treatment.
Tympanometry is used to guide personalised hearing assessments and ongoing care. By analysing the results alongside other hearing tests, your audiologist can create a personalised plan that supports long‑term ear and hearing health, comfort and confidence.
When to Book an Audiology Assessment
You should arrange a hearing assessment if you experience persistent muffling, ear pressure, frequent ear infections or a feeling of blocked ears. Hearing “pops” during altitude changes or recurring congestion can also signal middle ear function problems. Timely testing at The Forbury Clinic ensures early identification and appropriate management of these issues before they affect long‑term hearing quality.
Expert Hearing and Middle Ear Testing in Reading
The tympanometry test offers a quick, accurate and completely painless way to understand your ear health. When combined with a full professional hearing assessment in Reading through The Forbury Clinic’s Audiology Department, it forms part of a comprehensive private care service designed to protect, diagnose and improve middle ear health.
Contact us to book an appointment with our audiology specialists in Reading.


