I have been closely related to people with substantial hearing loss, so I know first-hand how difficult communication can be when the hearing impaired either do not wear hearing aids or the hearing aids that they do have do not solve the problem. If this cycle goes on for a prolonged period of time, the communication decreases and the relationship suffers. It is just as hard on the non-hearing impaired as it is for the hearing impaired. Both parties may develop attitudes to avoid communication when it is difficult. This is hard on any relationship. The most important ingredient in any relationship is communication. If you are suffering from hearing loss, or you have a significant relationship that is suffering from communication difficulties, getting appropriate help with hearing aids that are programmed according to the actual hearing loss will make a huge difference in the quality of life, and in preserving relationships that are important to you.