Diagnosis a low-volume speech conductive nature of their hearing loss, they perceive there voice as louder than it actually is Paracusis of willis It occurs because the chl reduces the volume of the back ground noise TWO-thirds of patients will report a family history of hearing loss. Women with pregnancy worse her hearingDiagnosis ◼ low-volume speech. ◼ conductive nature of their hearing loss, they perceive there voice as louder than it actually is. ◼ Paracusis of Willis. ◼ It occurs because the CHL reduces the volume of the back ground noise, ◼ Two-thirds of patients will report a family history of hearing loss. ◼ Women with pregnancy worse her hearing