Background: Hearing impairment is one of the most common chronic health conditions in the world. Hearing loss reduces the quality and quantity of a couple's communication. Considering the centrality of communication between spouses, a person's hearing loss may negatively affect the relationship. Communication problems manifest themselves through constant repetitions and misunderstandings.Aim: The aim of this study is to explore the role of hearing impairment on mental health in elderly couples.Methods: A total of 120 couples between the age ranges of 60 to 80 years came to Audiology clinic for routine check-up at SGT Hospital, Gurugram. The total population was divided into three different groups i.e., Group A (Experimental group I), Group-B (Experimental group II) and Group C (control group). Group A was further subdivided into A-I and A-II whereas Group B was subdivided into B-I and B-II. Univariate analysis, ANOVA followed by post-hoc Duncan’s were used to estimate the effects of the hearing impairment of the self/partner on mental health of subjects and their partners with and without hearing aids. All the 3 groups, i.e.; groups with normal hearing, hearing impairment and hearing impairments with hearing aids were selected for the study. First of all, descriptive statistics was used followed by ANOVA and post-hoc analysis.