I have also had my Marvels for a week (fitted last Thursday). I find the phone conversations to be very good, even in very noisy rooms. The other party is able to hear me clearly and with the voice coming to both my ears I have no problem even with heavy background noise. Streaming music is also very good and I use it when I’m working out. These are my first hearing aids so I don’t have any basis for comparison but so far I am very satisfied with the Marvels. Regarding programs your audiologist should have set them up for you. There are many to choose from but only three additional (beyond AutoSense 3.0) can be input to the Hearing aids. Mine have the AutoSense 3.0 (which I use most of the time); Speech in Noise; Speech in Loud Noise; and Music. I used the Music setting at a concert last weekend and it worked fine. I’ve used Speech in Noise and Speech in Loud Noise also with success. I may have my audiologist add in the Car setting and remove one of the Speech in Noise programs as I have an old car I drive sometimes and it is very noisy with both engine and wind noise.
Regarding the dome size, my audiologist didn’t like the domes that came with the Marvels and switched into some closed domes with venting that she prefers. they seem to working well except my right ear (which has the larger dome) does occasionally itch a little which can be annoying.
Sounds like you need to have your audiologist make the necessary adjustments and also add in the three additional programs you prefer from the available list.