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The phrase "have trouble understanding" is correct and usable in written English.
You can use it when expressing difficulty in comprehending something.
Example: "I often have trouble understanding complex mathematical concepts."
Alternatives: "struggle to grasp" or "find it hard to comprehend."
Exact(59)
You may grow to understand the newscasts but have trouble understanding a rapid-fire sportscaster.
"Iraqis have trouble understanding Americans".
"And it's something I have trouble understanding.
"We have trouble understanding" the decision, Lesieur said.
Do you have trouble understanding your doctor's English?
They also may have trouble understanding everything at issue.
Some also continue to have trouble understanding the logic of fining a government in financial difficulty.
Some economists have trouble understanding why so little is happening in Washington.
One of the items today's children have trouble understanding, she said, is the rotary phone.
"Algerians that are not from the region have trouble understanding them.
Outsiders have trouble understanding them when they speak, and family members have difficulty understanding one another.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com