Skip to content

Why Tinnitus Often Gets Worse in Cold Weather

Tinnitus searches peak in winter and fall in summer — in the southern hemisphere too. Vasoconstriction, dry air and seasonal illness all plausibly explain it.

By Tinnitus Clarified TeamUpdated 5 min read

Key takeaways

  • Searches for tinnitus peak in winter and fall in summer in the United States, Canada, Germany, Sweden and Australia, where the peak moves with the southern winter.
  • Daily self-reports from the TrackYourTinnitus app show tinnitus varying with temperature in some countries.
  • Cold-induced vasoconstriction, dry air, congestion-causing illness and bigger barometric swings all plausibly contribute, but none has been established as the driver.
  • Congestion is the explanation with the clearest chain: colds affect the Eustachian tube, and middle-ear pressure changes affect tinnitus.

Tinnitus appears to follow the seasons: searches for it peak in winter and dip in summer across five countries, and several overlapping causes — constricted blood vessels, dry air, colds and pressure swings — plausibly contribute.

The article on tinnitus and barometric pressure covers one specific weather-related mechanism. Cold weather more broadly is a common seasonal complaint worth its own look — the pattern shows up clearly enough in search behavior data alone, and there are several plausible, overlapping physiological explanations behind it.

The pattern shows up in the data itself

A 2015 analysis of search engine query data found significant seasonal effects for tinnitus searches — peaking in winter, bottoming out in summer — across the United States, Canada, Germany, Sweden and Australia.

Australia is the detail that makes this convincing. Its winter falls in the middle of the calendar year, and the search peak moved with it. A pattern that tracks local winter rather than particular months is much harder to explain away as a calendar artefact — holidays, new-year health resolutions, seasonal advertising — and much easier to read as something seasonal happening to people's ears.

Separately, an analysis of daily self-reports from the TrackYourTinnitus app found that tinnitus varies with temperature in some countries, and that season and country of origin were both useful in predicting reported tinnitus. That is a different kind of evidence from search volume: it comes from people reporting their own symptoms in the moment rather than from what they typed into Google.

Blood flow: the most direct mechanism

Cold temperatures cause blood vessels throughout the body to constrict as part of normal temperature regulation, preserving core body heat — and this includes the small blood vessels supplying the inner ear. Reduced blood flow to the delicate hair cells responsible for transmitting sound signals is a mechanism that comes up in other contexts (see the articles on blood pressure and cholesterol), and cold-weather vasoconstriction is a plausible, if less commonly discussed, seasonal version of the same general blood-flow-sensitivity theme.

Dry air, congestion, and the earwax claim we dropped

Several more mechanical factors compound the picture in winter specifically. Winter air is typically much drier, especially combined with indoor heating, which affects the mucous membranes of the nose and throat generally. Winter also brings a wave of respiratory infections that frequently cause nasal and sinus congestion affecting Eustachian tube function, creating the same kind of middle-ear pressure changes covered in the article on Eustachian tube dysfunction — a mechanism that can independently amplify tinnitus. Of the explanations on this page, this one is the most concrete: upper respiratory infection is seasonal, congestion affects the middle ear, and middle ear changes affect tinnitus.

One claim we have dropped rather than repeated: it is widely stated online that ears produce more wax in cold weather. Earwax buildup can make tinnitus more noticeable — that part is covered in the article on earwax and tinnitus — but we could not find evidence that cold temperatures increase how much of it you produce, so we are not going to assert it.

Barometric pressure adds a fourth layer

Beyond temperature specifically, winter weather systems often bring more dramatic barometric pressure swings, and pressure changes are separately documented to affect the inner ear's delicate structures. For some people, this pressure-sensitivity mechanism may be a bigger contributor to winter-specific worsening than the temperature itself.

Why it is several factors, not one

This is a useful example of a pattern worth applying broadly: winter tinnitus worsening isn't well explained by any single mechanism alone, but by several plausible factors — reduced blood flow, drier air affecting the whole respiratory tract, more congestion-causing illness, and bigger barometric swings — all clustering together in the same season. That overlap, more than any single dominant cause, likely explains why the seasonal pattern is strong enough to show up clearly in search-behavior data. The explanation is also where the evidence thins out: the seasonal pattern is well documented, but no single one of these causes has been established as the driver.

What this means practically

  • A consistent worsening every winter fits a documented seasonal pattern — visible in search data across five countries, with app-based symptom reports varying with temperature in some countries — and is not something unusual about your specific case
  • If winter colds are part of your pattern, that is the mechanism with the clearest chain behind it: congestion affects the Eustachian tube, and middle-ear pressure changes affect tinnitus
  • Managing indoor air dryness (a humidifier, adequate hydration) may help with the broader respiratory and congestion-related contributors, even if it doesn't address every mechanism
  • If winter congestion or illness seems to be the main driver for you specifically, treating the congestion directly is likely to help the tinnitus that comes with it
  • Knowing it is a recognised, probably multi-factor seasonal pattern rather than an unexplained personal worsening is itself useful context each winter — a flare-up journal kept through one winter will show whether your own pattern follows colds, cold snaps or pressure changes

Frequently asked questions

Does tinnitus really get worse in winter?

The seasonal pattern itself is well documented. A 2015 analysis of search engine data found significant seasonal effects for tinnitus searches — peaking in winter, bottoming out in summer — in the United States, Canada, Germany, Sweden and Australia. Australia is what makes it convincing: its winter falls mid-year and the search peak moved with it, which is hard to explain as a calendar artefact. Separately, daily self-reports from the TrackYourTinnitus app found tinnitus varies with temperature in some countries.

What causes tinnitus to get worse in winter?

Probably several things at once. Cold constricts blood vessels throughout the body as part of normal temperature regulation, including the small vessels supplying the inner ear. Winter air is drier, particularly with indoor heating. Winter brings respiratory infections whose congestion affects Eustachian tube function and middle-ear pressure. And winter weather systems bring larger barometric pressure swings. No single one of these has been established as the driver — their clustering in the same season is probably why the pattern shows up so clearly.

Which explanation for winter tinnitus is best supported?

The congestion route, because it is the only one whose chain can be traced end to end: upper respiratory infection is seasonal, congestion affects Eustachian tube function, and middle-ear pressure changes affect tinnitus. If winter colds are part of your own pattern, treating the congestion directly is the intervention most likely to help the tinnitus that comes with it.

Do ears produce more wax in cold weather?

It is widely stated online, but we could not find evidence for it, so it is not counted here as one of the mechanisms. Earwax buildup can make tinnitus more noticeable — that part is real — but that is a separate question from whether cold weather makes you produce more of it.

Sources

3 named sources

Show the list
  1. Plante & Ingram, 2015Journal article

    Seasonal trends in tinnitus symptomatology: evidence from Internet search engine query data, European Archives of Oto-Rhino-Laryngology, PubMed (opens in a new tab)
  2. Allgaier, Schlee et al., 2022Journal article

    Prediction of Tinnitus Perception Based on Daily Life MHealth Data Using Country Origin and Season, Journal of Clinical Medicine, PMC (opens in a new tab)
  3. Fritz, Choi et al., 2023Journal article

    Characterizing the most Popular Tinnitus Inquiries: Is Tinnitus Incidence on the Rise Since COVID-19?, Otology & Neurotology, PMC (opens in a new tab)

On this page