Systems and methods for monitoring a sound pressure level dose at an ear are provided. A system includes an audio transducer which outputs a sound signal is placed within an ear to receive sound at the ear. A sound level threshold detector determines whether a sound pressure level of the sound signal is at a minimum level and outputs a sound pressure level signal corresponding to the sound pressure level when the sound pressure level is not at the minimum level. A time period is calculated during which the sound pressure level is not at the minimum threshold level. A listening fatigue calculator determines whether a cumulative effect of exposure to the sound signal at the ear over the time period will cause harm to the ear. At least a portion of the system is disposed in situ at the ear.