A
system (100) includes a listening device (105) with a processor (110), memory (112), speaker driver (120), and
microphone (130) for determining
hearing loss. The memory includes processor-executed instructions (155) for carrying out steps including transmitting an
ultrasound tone to a user of the listening device (105); measuring length of an
ear canal of the user after receiving a reflected
ultrasound signal; transmitting an audible sound to the user of the listening device; transmitting an
ultrasound tone to the user of the listening device (105) and measuring length of an
ear canal of the user after receiving a reflected ultrasound
signal; comparing the measurement of the length of the
ear canal before and after the audible sound transmission; and if there is no change or minimal change in the length, notifying the user of
hearing loss or controlling the listening device to limit sound level.