In vitro fertilization (IVF) cycles are increasingly performed worldwide. Transvaginal oocyte pick-up (OPU) is a painful part of IVF. OPU in polyfollicular IVF is usually performed under sedation and pain relief. In natural cycle IVF or IVF with minimal stimulation OPU is possible without anesthesia. Mostly of the women reported experiencing mild to moderate pain when undergoing OPU without anesthesia. Nevertheless, there is a need for alternative pain treatment options during OPU to reduce the burden of IVF for patients. Virtual reality (VR) may have a role in acutely painful procedures as a non-pharmacological alternative. VR refers to the interactions between an individual and a computer-generated environment stimulating multiple sensory modalities. The immersive, entertaining effects of VR could be useful for redirecting the patient's attention away from painful treatment experiences and reducing anxiety, discomfort, or unpleasantness. Use of VR interventions has been studies in a wider range of medical treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
Women will be randomly allocated to undergo OPU either with the use of virutal reality (group A) or the control group with standard treatment, without analgesia(group B). The participants of group A will wear the Oculus Quest 2 and will be surrounded by a virtual world. They will see objects flying towards themselves. They will be able to interact with the virtual world by hand controllers and can try to catch the objects.
PD. Dr. med. Kohl Schwartz, Alexandra
Lucerne, Switzerland
VAS
visual analogue scale pain scoring
Time frame: post OPU (line from 0: no pain to 10:worst pain) immediately post OPU
VAS for anxiety
VAS for anxiety
Time frame: Pre-post OPU (line from 0: no to 10:worst anxiety) pre- und immediately post OPU
state-trait anxiety inventory form (STAI)
state-trait anxiety inventory form (STAI)
Time frame: Pre-OPU
vital parameters: pulse rate
vital parameters : pulse rate
Time frame: Intraoperative
vital parameters: blood pressure
vital parameters: blood pressure (systolic and diastolic pressures)
Time frame: Intraoperative
vital parameters : oxygen saturation
vital parameters : oxygen saturation
Time frame: Intraoperative
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