Wax build-up can cause muffled hearing, a blocked feeling, earache or ringing in the ear. These symptoms can have other causes too. An examination is needed to find out whether wax is present and whether removing it is appropriate. Sources: 1, 2

No. Ear wax helps protect the ear canal and normally moves out by itself. Removal may be needed when a build-up is affecting hearing, causing discomfort or stopping a practitioner from examining the ear properly. Sources: 1, 3

Softening the wax may help, but the preparation depends on your ears and the planned treatment. Ask your clinic which product to use and when to start. Do not use drops with a perforated eardrum unless a suitable healthcare professional has specifically advised you to. Mention grommets or previous ear surgery before using drops. Sources: 1, 4, 5

Do not put cotton buds, fingers or tools into the ear canal. They can push wax further in. A pharmacist can advise on suitable wax-softening products and whether you need further help. Source: 1

We ask about your ears and symptoms, examine the ear canal, and explain what we find. We then discuss the appropriate treatment and aftercare. Allow around 30 minutes for the appointment, including the examination and advice. Tell us about any previous ear surgery, treatment problems or concerns before we start. Sources: 5, 6

Microsuction uses a fine suction tube to remove wax while the practitioner watches under magnification. Water irrigation uses a controlled flow of warm water to flush out softened wax. Both have possible risks and neither method suits every ear. Sources: 3, 5

At Outwax, we offer both methods and examine your ears before recommending treatment. Your symptoms and ear history matter, including previous surgery, perforation, grommets or infection. A history of ear problems may mean a different approach or specialist assessment is needed. Sources: 5, 6

More softening or another visit may be needed. Sometimes another method or specialist assessment is appropriate. Wax should not be forced out if removal is painful or unsafe. Ask what the next step is before you leave. Sources: 4, 5

Contact the clinic for advice rather than assuming that more wax needs removing. If your hearing has not returned after treatment for wax, the NHS advises seeing a GP. Sudden or worsening hearing loss needs urgent medical advice. Sources: 2, 4

Contact the clinic if you have pain or concerns after treatment. Seek medical advice for increasing pain, bleeding, discharge or continuing dizziness. Follow the aftercare instructions given for your ears. If you feel dizzy, wait until it has settled before driving. Sources: 3, 4, 7

There is no single schedule for everyone. Some people need repeated care for troublesome build-up; others never need professional removal. Ask for advice based on your symptoms and ear examination, rather than arranging treatment simply because a set amount of time has passed. Sources: 3, 5