As far as I am concerned, headphones and hearing aids do not mix.
My hearing loss problems may be a bit unique in that I have normal hearing in the low frequency range (up to about 1800 Hz), so my ears without the aids act as good low pass filters. That is great for CW, but not so good for speech recognition on SSB.

For those times when I must use headphones, I remove the aids - but I have purchased a pair of good quality computer speakers which are placed about 3 feet from either ear and firing toward my head. With the speakers in use, I can enjoy features such as AFX while wearing the aids. I cannot vouch for AFX in CW mode, but I can say that using AFX MD delay = 2 in SSB creates a nice full sound for me - other settings seem to annoy me, but as Lyle has pointed out, each user will have a different perception, so YMMV.

BTW, my hearing aids have 3 stages of noise reduction available. I normally use the setting with no reduction in the aids ('music' setting) which just compensates for my frequency loss. I only use the noise reduction capability when I get into a crowd situation (crowded restaurant), and then I use the algorithm that works best for speech recognition in noise. Again, your situation may be different. For me, the speakers work best, but then, I have a tolerant spouse.

73,
Don W3FPR

nz0t wrote:
I would like to hear what anybody that wears hearing aids thinks of AFX.  I
usually take at least one of my aids out since it tends to squeal under a
headphone and that means having to turn the audio way up.  I'm looking
forward to trying AFX when my K3 arrives hoping it can help an old deaf guy.
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