Whether to wear earplugs in the shower depends entirely on the health status of your ears, specifically the condition of your ear canal and eardrum. For most people, the main concern is preventing water from entering the ear canal, which can lead to discomfort or infection. The decision to use a protective barrier is based on whether your ears possess natural defenses or if a pre-existing medical condition requires strict water exclusion. This article examines the ear’s natural defenses, conditions that require protection, and the best products to use.
Is Water Exposure Harmful for Healthy Ears?
For people with a healthy, intact eardrum, water exposure during a brief shower is not dangerous. The ear canal has natural protective mechanisms designed to manage incidental moisture. Earwax (cerumen) is water-repellent and acts as a barrier against moisture and debris, while also helping to maintain a slightly acidic pH level that discourages bacterial growth.
The natural anatomy of the ear canal, which is typically sloped and curved, assists in water drainage. However, if water remains in the ear for an extended period, it can soften the skin and wash away protective earwax, creating a damp environment. This prolonged moisture can lead to a bacterial infection of the outer ear canal known as otitis externa, or “swimmer’s ear.” While often associated with swimming, frequent showering can also contribute to this condition, especially if the ear canal lining is already irritated.
Specific Conditions Requiring Protection
Water precautions are essential when the natural protective barrier of the eardrum is compromised. Any condition that creates a direct pathway between the ear canal and the middle ear space necessitates strict water avoidance. Water, especially if it contains soap or shampoo, can introduce bacteria to the middle ear, potentially causing a serious infection.
Individuals with a perforated eardrum (ruptured tympanic membrane) must use water protection every time they shower. The presence of ear tubes (tympanostomy tubes) is also a clear indication for using earplugs, as the tubes create an intentional opening in the eardrum. Recent ear surgery, such as a mastoidectomy or tympanoplasty, requires stringent water protection to support healing and prevent complications. People who experience chronic or recurring episodes of otitis externa may also benefit from consistent use of earplugs to prevent moisture-related flare-ups.
Selecting Appropriate Water Protection
Selecting the correct product for water protection is important, as standard foam earplugs designed for noise reduction are often ineffective. Foam plugs can absorb moisture and fail to create a watertight seal. The most widely recommended product for showering is moldable silicone putty.
These plugs cover the entrance of the ear canal and conform to the unique shape of the outer ear, creating a reliable seal. Another common and affordable option involves using cotton balls coated with petroleum jelly, which makes the cotton water-repellent and creates a physical barrier. For individuals with chronic issues, custom-molded silicone earplugs created by an audiologist offer the most secure and comfortable fit, providing the highest level of water exclusion.
Safe Use and Maintenance Practices
Proper insertion is necessary for any water protection device to function correctly and create a true seal. Moldable silicone plugs should be rolled into a ball and flattened to cover the entire opening of the ear canal. The goal is to block the canal entrance, not to be inserted deeply like a noise-reducing earplug. For reusable plugs, cleaning and maintenance are essential for preventing the introduction of bacteria.
Reusable silicone plugs should be washed with mild soap and water and allowed to dry completely after every use. Moldable plugs should be replaced frequently, typically after a few uses, as they can lose their sealing ability and accumulate contaminants. After the shower, gently dry the outer ear with a soft towel and tilt the head to one side to encourage any residual water to drain naturally.