Effectiveness of Virtual Reality in Reducing Pain and Stress During Office Hysteroscopy

Introduction: Office hysteroscopy (OH) offers a "see and treat" strategy, enabling most gynecological conditions to be addressed outside the operating room without anesthesia. Despite its convenience, the associated pain and stress remain significant barriers to its widespread success amon...

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Detalles Bibliográficos
Autores: Estadella Tarriel, Josep|||0000-0001-7140-3091, Perelló Capo, Josep|||0000-0001-9914-9312, Simó González, Marta, Bailón Queiruga, Marta|||0000-0002-9344-8722, Real, Jordi|||0000-0002-5979-8948, Gomis-Pastor, Mar|||0000-0003-4097-9316, Marre, Diana|||0000-0003-2852-3762, Llurba, Elisa|||0000-0003-4048-6407
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:307930
Acceso en línea:https://ddd.uab.cat/record/307930
https://dx.doi.org/urn:doi:10.3390/healthcare13020131
Access Level:acceso abierto
Palabra clave:Office hysteroscopy
Virtual reality
Pain
Anxiety
Stress
Gynecology
Analgesia
Trial
Descripción
Sumario:Introduction: Office hysteroscopy (OH) offers a "see and treat" strategy, enabling most gynecological conditions to be addressed outside the operating room without anesthesia. Despite its convenience, the associated pain and stress remain significant barriers to its widespread success among women. Both pharmacological and non-pharmacological interventions have been explored to mitigate these challenges, albeit with mixed outcomes. Methods: This study aimed to evaluate the effectiveness of virtual reality (VR) in reducing pain and stress associated with OH using objective measurements. Results: Our findings indicate that VR significantly reduced pain during OH compared to the control group (-1.08, 95%CI; -1.93-0.23, on the Visual Analogue Scale (VAS), p = 0.013) and 10 min post-procedure (-1.24, 95%CI; -1.99-0.48, p = 0.001), without significant effects on stress-related variables. Stratified analyses further revealed that the efficacy of VR in pain reduction is influenced by individual patient characteristics, with greater effectiveness observed in women with lower baseline stress, premenopausal status and a history of childbirth, regardless of vaginal delivery. Conclusions: VR represents a promising strategy for managing OH-associated pain, with its effectiveness largely depending on patient-specific variables.

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