I'm a 37 years old, female. I have been having blocked ears for 2 weeks plus now and hardly can hear anything except my own voice most of the time. And that emptiness sound. History: - Developed sore throat. - Then dry cough with mild phlegm. - Developed pain in right ear. - Saw normal doctor. Gave me cough mixture, wax drop, flu medi, pain killers and antibiotics. - After 2 days, pain started in left ear as well and slowly started to have ear blocked on both sides. - Suffered terrible pain throughout. - Saw another doc, gave me new antibiotic and cough mixture with a new ear drops as ears were clear from wax. Looks mildly infected. - Took them. No changes. Day by day level of hearing deteriorated. Pain was on and off. If it comes, it will be very painful. - Went to see ENT specialist, who said nothing much can be seen, could be fluid but no swelling. So gave a nasal spray and asked me to continue the same antibiotics. - Days passed and hardly could hear much and pain started to travel behind be ears, headache, heavy head. - Saw another specialist who did the audiogram test and microscope. - He suggested immediate aspiration but I refused as I wasn't sure. So, he gave augmentin 1g, nasal spray and chewing gum. If no difference over next 4-5 days, he said then have to do aspiration as it will affect my ears further. - Kindly advice. Is an audiogram (frequency cycle per second) test and Impedance audiometry test the same?