Difficulty being heard by others, along with hearing loss in one ear, may indicate an underlying ear or nerve-related problem, such as conductive hearing loss due to middle ear fluid, earwax blockage, or infection, or sensorineural hearing loss caused by damage to the inner ear or auditory nerve. In some cases, otosclerosis or sudden sensorineural hearing loss may also present with these symptoms. It is essential to consult an ENT specialist for a detailed ear examination and a hearing test (audiometry) to determine the exact cause. Treatment depends on the diagnosis and may include removal of earwax, medication for infection or inflammation, or hearing rehabilitation measures. Early evaluation is essential to prevent permanent hearing impairment, and self-treatment or the use of ear drops without medical advice should be avoided.