Wax removal
Bulk billedWax removal
Bulk billedGentle irrigation to clear wax that is blocking hearing or the view of the eardrum.
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We are a bulk billing practice — all Medicare-eligible consultations are bulk billed. Some items, including privately purchased vaccines and consumables, attract a fee. Book on HotDoc, online or by phone on (02) 7813 6000.
Wax only needs removing when it is causing a problem. When it is — muffled hearing, pressure, or an ear your doctor cannot see into — syringing clears it in a few minutes.
Three ways to book: HotDoc · online · or by phone.

Ear wax protects the canal and usually clears itself. We only intervene when it stops doing that.
Cerumen, or ear wax, is produced by the outer part of the ear canal and migrates out naturally. Most people never need anything done about it. Problems arise when wax builds up faster than it clears, is pushed inward by cotton buds or earphones, or hardens with age.
Muffled or reduced hearing, a feeling of fullness or pressure, ringing, mild dizziness, ear ache without infection, a hearing aid whistling because wax is blocking the mould, or a canal so full that the doctor cannot see the eardrum to assess a different problem.
Never use cotton buds inside the ear canal. They push wax deeper, pack it against the drum and are the single most common cause of the blockage we end up treating.
Syringing works far better and more comfortably if the wax has been softened. Use a wax-softening drop or olive oil for three to five days before your appointment. Good Price Pharmacy Warehouse in our centre stocks suitable products, and reception will tell you what to use when you book.
Your doctor or nurse examines both ears with an otoscope first. Warm water is then gently irrigated into the canal to float the wax out, using an electronic irrigator that controls pressure. It feels odd, sometimes a little dizzying, but should not be painful. Both ears usually take under ten minutes.
We will not irrigate an ear with a perforated eardrum, a current or recent infection, grommets, a previous ear operation, or if you have only one hearing ear. In those situations you will be referred for microsuction, which removes wax under direct vision without water.
Wax removal is only part of it — the examination matters as much.
Gentle irrigation to clear wax that is blocking hearing or the view of the eardrum.
Book online →Assessment of reduced hearing, with referral for audiology where wax is not the cause.
Book online →Clearing wax that blocks moulds and causes feedback, on a regular schedule if needed.
Book online →Examination for infection, which is treated rather than syringed.
Book online →Clearing the canal so that ear pain, tinnitus or dizziness can be properly examined.
Book online →Arranged when irrigation is not safe, such as after ear surgery or with a perforation.
Book online →Getting the best result from the appointment.
Use wax-softening drops or olive oil twice daily before you come in. This makes the difference between a quick clearance and a frustrating one.
Both ears are examined with an otoscope to confirm wax is the problem and that irrigation is safe for you.
Warm water is used to float the wax out. It is quick, a little strange, and should not hurt.
The canal and eardrum are examined again, and hearing is confirmed. If wax remains, a second visit may be booked.
Ear syringing is performed by our GPs and nursing team.

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Skin cancer checks and minor procedures, men's health, mental health and family medicine.

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Mental health, chronic illness, disability care and general family medicine.
Ear examination and syringing are bulk billed for patients with a valid Medicare card.
Full fee guide
Standard GP consultations at Toongabbie Doctors are bulk billed for patients with a valid Medicare card, so there is no out-of-pocket cost to see your doctor.
Questions about ear wax.
Yes. Three to five days of drops or olive oil dramatically improves the result. Hard, dry wax often will not shift and you may need a second appointment.
It should not. You will feel water, warmth and pressure, and some people feel briefly dizzy. Tell your doctor or nurse immediately if anything is painful.
Yes. They push wax deeper and compact it against the eardrum, and they can scratch the canal or perforate the drum. Clean only the outer ear.
No. We will not irrigate an ear with a perforation, a current infection, grommets, previous ear surgery, or if it is your only hearing ear. Microsuction is arranged instead.
Usually immediately, and the difference can be startling. If hearing is still reduced afterwards, your GP will look for another cause and may refer you for a hearing test.
Soften the wax for a few days, then book a bulk billed appointment to have it cleared and your hearing checked.
Three ways to book: HotDoc · online · or by phone on (02) 7813 6000.