Most people start to notice symptoms of otosclerosis in their late teens or early adult years, although symptoms may start earlier. These symptoms (e.g., hearing loss, trouble balancing, dizziness, and sometimes tinnitus) may be mild at first and get progressively worse. Not everyone with otosclerosis has symptoms, and some people experience only mild symptoms throughout their lives. Some women may first notice symptoms during pregnancy. This is because pregnancy hormones may sometimes make otosclerosis progress more quickly.
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