An exemplary hearing system that is configured to assist a user in hearing includes a behind-the-ear (BTE) component that includes a power source and an in-the-ear (ITE) component configured to fit at least partially within an ear canal of the user. The ITE component may include a microphone arranged so as to face outside of the ear canal of the user while the ITE component is worn by the user, a vent opening configured to ventilate the ear canal of the user to an environment outside of the ear canal, a receiver configured to provide an audio signal to the user based on an input audio signal detected by the microphone, and at least one of active noise control circuitry configured to reduce at least one of environmental noise entering the ear canal through the vent opening and occlusion and an active vent configured to control the vent opening.