2026-04-05T12:44:51Zhttps://recercat.cat/oai/request
oai:recercat.cat:2072/4821232025-10-17T17:36:22Zcom_2072_98col_2072_378192
RECERCAT author Estadella Tarriel, Josep author Perelló Capo, Josep author Simó González, Marta author Bailón Queiruga, Marta author Real, Jordi author Gomis-Pastor, Mar author Marre, Diana author Llurba, E 2025 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. open access Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. https://creativecommons.org/licenses/by/4.0/ Office hysteroscopy Virtual reality Pain Anxiety Stress Gynecology Analgesia Trial Effectiveness of Virtual Reality in Reducing Pain and Stress During Office Hysteroscopy : A Randomized Controlled Trial Article