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I had a few ear infections, but not heaps, I didn't have any issues with speech.
But I'm glad I did have them, it was only after I got them put in that I realised how muffled my hearing was in class- I simply couldn't hear the teacher clearly before. They're not perfect of course, they can fall out.
Im not sure if the fluid will eventually drain away, but i was told if I'd had the grommets put in as a young child i may have prevented the hearing loss.The fluid doesn't drain away - that's why the grommet is inserted.