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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

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Virtual Reality for Analgesia During Intrauterine Device Insertion: Randomized Controlled Trial.

Chloe Higgins¹, Claudia Zecena Morales¹, Judi Hocking¹

¹Women's and Newborn Program, Monash Health, 246 Clayton Rd, Melbourne, 3168, Australia, 61 395946666.

JMIR Serious Games

|September 9, 2025

Summary

This summary is machine-generated.

Virtual reality (VR) did not significantly reduce pain or anxiety during intrauterine device (IUD) insertion. However, patient satisfaction and recommendations for VR use were high, suggesting potential benefits for the patient experience.

Keywords:

anxiety contraception intrauterine device pain virtual reality

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Simultaneous Application of Transcranial Direct Current Stimulation during Virtual Reality Exposure

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Published on: January 18, 2021

Area of Science:

Gynecology
Medical Technology
Pain Management

Background:

Intrauterine devices (IUDs) are effective long-acting reversible contraceptives and treatments for gynecological conditions.
Patient discomfort during IUD insertion limits their use, with limited consensus on effective pain management strategies.
Virtual reality (VR) shows promise for acute pain management and has been explored in outpatient gynecological procedures.

Purpose of the Study:

To evaluate the effectiveness of VR in mitigating pain and anxiety during outpatient IUD insertion.
To assess patient satisfaction and procedural outcomes associated with VR use during IUD insertion.

Main Methods:

A randomized controlled trial comparing VR headset use to standard care during IUD insertion.
VR delivered via smartphone and headset, offering a 3D immersive environment.
Outcomes included patient-reported pain, anxiety, satisfaction, and clinician-reported ease and duration of insertion.

Main Results:

No significant difference in pain scores (VR: 5.5 vs. Control: 4.3, P=.15) or anxiety scores (VR: 4 vs. Control: 4.8, P=.37) between groups.
Preprocedural anxiety was a significant predictor of pain and reduced the benefit derived from VR.
High patient satisfaction and recommendation rates for VR use were reported, with no significant adverse effects.

Conclusions:

VR did not significantly reduce pain or anxiety during IUD insertion but was associated with high patient satisfaction.
Preprocedural anxiety negatively impacts pain perception and VR effectiveness, highlighting its importance.
VR may offer benefits beyond pain and anxiety reduction, warranting further investigation for improving patient experience in gynecological procedures.