Mine seems to fluctuate with my health and how much water/fluid I drink (more is better) and how congested my sinuses are, etc. Mine use to be much worse I think, I could lay on my good ear at night and the tinnitus was like a nice "white noise" to cover my husband's snoring Doesn't seem to work that way anymore.

Have you had your ears professionally looked at by an ENT recently? My good ear got impacted wax so I had to go and he fixed that problem and checked both ears and found everything good and everything has been better since then.