Hello my friend I am Dr.Arianisa Thanks for your question on HCM A perforated eardrum is not usually serious and often heals on its own without any complications. Complications sometimes occur such as hearing loss and infection in the middle ear. A small procedure to repair a perforated eardrum is an option if it does not heal by itself, especially if you have hearing loss. Perforated eardrum will usually heal by itself. It is a skin-like structure and, like skin that is cut, it will usually heal. In some cases, a doctor may prescribe antibiotic medicines if there is an infection or risk of infection developing in the middle ear whilst the eardrum is healing. It is best to avoid water getting into the ear whilst it is healing. For example,you put some cotton wool or similar material into your outer ear whilst showering or washing your hair. It is best not to swim until the eardrum has healed. Surgical treatment is sometimes considered.A small procedure is an option to treat a perforated drum that does not heal by itself.Surgical treatment is mainly considered if there is hearing loss, as this may improve if the perforation is fixed.If you have a perforation that has not healed by itself, a doctor who is an ear specialist will advise on the pros and cons of treatment versus leaving it alone. Hope this information is helpful to you Best regards