Hearing Loss due to Ruptured Eardrum

I have had hearing loss since I was 15-16. When i visited a professional they told me that I have a ruptured eardrum and my hearing would only become worse if I did not get surgery. I did not choose to get the surgery as i was near my end of school exams were near. It has been 2 years since then and my hearing seems to be getting worse. I use headphones quite regularly to listen to music while studying and such. I don't know what to do now and I am terrified to lose my hearing even more. Any advice?