When you pull out your eardrum, you will experience severe pain in your ear, tinnitus, roaring in your ears, and hearing loss. The next day the tinnitus is reduced, the hearing loss is restored a little, and the ear pain is reduced. Hearing loss of about 20 decibels from a perforated eardrum will not cause a little deafness. Traumatic piercings should never be put on ear drops and the external ear canal should be kept dry. In the absence of infection, it will usually heal naturally in about two months. If the perforation is too large to heal after two months, endoscopic tympanoplasty or microscopic tympanoplasty under general anesthesia is recommended. In many cases, it is not the tympanic membrane that causes severe ear pain, but the back wall of the external ear canal that is broken, causing pain or bleeding.