Evidence map›Paper›PMID 41535848›Full record

Trial reportBMC women's health2026

Feasibility, efficacy, and safety of virtual reality in reducing pain and anxiety during oocyte retrieval: a randomized controlled trial.

Li Wang, Juan Liao, Shuozhen Chen, Honggui Wen, Xiaodong Zhang, Hong Luo

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Li WangCenter for Reproductive Medicine, Chongqing Health Center for Women and Children, Women and Children's Hospital of Chongqing Medical University, Chongqing, China.
Juan LiaoCenter for Reproductive Medicine, Chongqing Health Center for Women and Children, Women and Children's Hospital of Chongqing Medical University, Chongqing, China.
Shuozhen ChenNursing School, Zunyi Medical University, Guizhou, China.
Honggui WenCenter for Reproductive Medicine, Chongqing Health Center for Women and Children, Women and Children's Hospital of Chongqing Medical University, Chongqing, China.
Xiaodong ZhangCenter for Reproductive Medicine, Chongqing Health Center for Women and Children, Women and Children's Hospital of Chongqing Medical University, Chongqing, China.
Hong LuoCenter for Reproductive Medicine, Chongqing Health Center for Women and Children, Women and Children's Hospital of Chongqing Medical University, Chongqing, China. luohongcqfy@163.com.

Funding

Chongqing Municipal Health Commission Project 2022WSJK094General Program of the National Natural Science Foundation of China 82371728National Key Clinical Specialty Construction Project (Obstetrics and Gynecology) funded in 2022
6 · The paper itself

Abstract

backgroundTransvaginal ultrasound-guided oocyte retrieval (TVOR) is a critical and essential step in in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) for the treatment of infertility. However, it is generally considered an uncomfortable and painful procedure. Recent studies have demonstrated the effectiveness of virtual reality (VR) in reducing pain intensity in various acute pain scenarios, including procedural pain. This study aims to evaluate the efficacy and safety of VR interventions in alleviating pain and anxiety among women undergoing TVOR.

methodsA parallel-group, prospective randomized controlled trial (RCT) was conducted at the Center for Reproductive Medicine of Chongqing Health Center for Women and Children between 1 June 2022 and 30 July 2023. A total of 113 women who underwent TVOR were randomly assigned to either the VR group (n = 55) or the control group (n = 58), with all participants successfully completing the study. In the VR group, patients wore VR devices to simulate the experience of oocyte retrieval on the preoperative day and watched VR videos during the procedure. The control group received only standard care. The primary outcomes were changes in pain and anxiety scores. The secondary outcomes included changes in physiological parameters, adverse effects, operation cooperation, and pregnancy outcomes in both groups.

resultsPain scores were significantly lower in the VR group than in the control group both during the procedure (median, interquartile range [IQR]: 3 [2–4] vs. 4 [2–5], p < 0.001) and 1 h postoperatively (median [IQR]: 2 [1–3] vs. 3 [2–4], p < 0.05). Preoperative anxiety levels measured 10 min before the procedure were also lower in the VR group (mean, standard deviation [SD]: 37.45 [4.92] vs. 39.89 [5.34]; 95% CI: -4.355 to -0.520, p < 0.05). Intraoperative physiological monitoring revealed a reduced mean heart rate (mean [SD]: 85.38 [0.87] vs. 90.62 [13.08]; 95% CI: -0.144 to 3.666, p < 0.05) and respiratory rate (mean [SD]: 15.64 [2.70] vs. 19.04 [11.40]; 95% CI: 0.168 to 6.422, p < 0.05) in the VR group compared with the control group. No significant between-group differences were observed in adverse effects or pregnancy rates (p > 0.05 for all comparisons).

conclusionThis RCT demonstrated that VR significantly reduced pain and anxiety compared with standard care during TVOR, offering a safe, feasible nonpharmacologic adjunct that may reduce opioid needs and shorten the clinic turnover time. These findings provide evidence for integrating VR into routine ART workflows as an alternative, patient-centred intervention, although future multicentre, large-sample studies are needed to evaluate long-term efficacy across diverse clinical settings.

trial registrationThe study was registered in the Chinese Clinical Trial Registry with the code ChiCTR2200060212 on 22/5/2022.

Indexed as

AnxietyOocyte RetrievalPain ManagementProcedural PainVirtual RealityAdultFeasibility StudiesFemaleFertilization in VitroHumansPain MeasurementProspective StudiesUltrasonography, InterventionalAnxietyOocyte retrievalPain managementVirtual reality

Identifiers

PMID41535848
PMCPMC12888304

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.