Evidence map›Paper›PMID 42206202›Full record

ReviewAJOG global reports2026

Reducing pain and anxiety with virtual reality in (outpatient) gynecological procedures: a systematic review with meta-analysis.

Annelotte van Haaps, Merel Oskam, Kim Dreyer, Kimmy Rosielle, Ralph de Vries, Ben Willem Mol, Madelon van Wely, Jan Willem Kallewaard, Anneke Schreurs, Velja Mijatovic

Abstract readReview
In one paragraph

Review in AJOG global reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

10 authors.

Annelotte van HaapsDepartment of Reproductive Medicine, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands (van Haaps, Dreyer, Rosielle, Schreurs, and Mijatovic).
Merel OskamSchool of Medical Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands (Oskam).
Kim DreyerDepartment of Reproductive Medicine, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands (van Haaps, Dreyer, Rosielle, Schreurs, and Mijatovic).
Kimmy RosielleDepartment of Reproductive Medicine, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands (van Haaps, Dreyer, Rosielle, Schreurs, and Mijatovic).
Ralph de VriesMedical Library, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands (de Vries).
Ben Willem MolDepartment of Obstetrics and Gynaecology, Monash University, Clayton, VIC, Australia (Mol).
Madelon van WelyDepartment of Reproductive Medicine, Academic Medical Center, Amsterdam University Medical Centers, Amsterdam, The Netherlands (van Wely).
Jan Willem KallewaardDepartment of Anesthesiology, Academic Medical Center, Amsterdam University Medical Centers, Amsterdam, The Netherlands (Kallewaard).
Anneke SchreursDepartment of Reproductive Medicine, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands (van Haaps, Dreyer, Rosielle, Schreurs, and Mijatovic).
Velja MijatovicDepartment of Reproductive Medicine, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands (van Haaps, Dreyer, Rosielle, Schreurs, and Mijatovic).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Virtual Reality (VR) is increasingly used in medicine for pain and anxiety management. It has been frequently studied in the field of Gynecology and Obstetrics and found effective during labour. However, its application during (outpatient) gynecological procedures as pain and anxiety management remains underexplored. Objective: This systematic review with meta-analysis aimed to study the effect of VR on pain, anxiety and patient experiences when provided during (outpatient) gynecological procedures. Study design: A systematic review was performed, by systematically searching PubMed, Embase, APA PsycInfo and Web of Science (Core Collection) from inception to March 20th 2024. Articles on the effect of VR on pain (VAS or NRS) and anxiety (all measurement tools) during (outpatient) gynecological procedures were included. Study designs had to be randomized controlled trials (RCTs) or cohort studies. Data were collected independently by two reviewers. A meta-analysis was performed to calculate mean differences (MD) with 95% Confidence Intervals (95%CI), Sensitivity analyses and a subgroup analysis were performed. Results: Thirteen RCTs, published between 2015 and 2024, reporting on VR during (outpatient) gynecological procedures for benign conditions were included. Virtual Reality significantly improved overall pain scores (MD -0.95 (95%CI -1.44 to -0.47); n=12, I Conclusion: The meta-analysis suggests that VR could positively influence overall pain and procedural anxiety. Not all studies reported on all outcome measures which might have introduced reporting bias and lead to an overestimation of the effect of VR. Future studies should further study the correlation between pain and anxiety and the effect of VR on this. However, VR provides an alternative to pain medication, without the risks associated with pharmaceuticals, making it an attractive option.

Indexed as

anxietycolposcopyepisiotomy repairgynecological procedureshysterosalpingographyhysteroscopyintra-uterine device insertionpainsystematic reviewvirtual reality

Identifiers

PMID42206202
PMCPMC13202560

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Registered trials

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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.