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Meta-analysis finds VR distraction does not reduce pain during IUD insertion but may lower anxietyVirtual reality fails to stop pain during IUD insertion but helps with anxiety

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Key Takeaway
Consider that VR distraction does not reduce pain during IUD insertion but may lower anxiety, though evidence is uncertain.

This systematic review and meta-analysis evaluated the effect of immersive virtual reality (VR) distraction on pain and anxiety in women undergoing intrauterine device (IUD) insertion. The analysis included 4 randomized controlled trials with a total of 440 women. The primary outcome was post-procedural pain; secondary outcomes included post-procedural anxiety, patient satisfaction, and nausea.

For post-procedural pain, VR did not significantly reduce pain compared to control (SMD: -0.30, 95% CI [-1.07, 0.46], p = 0.44). In contrast, VR significantly reduced post-procedural anxiety (SMD: -3.58, 95% CI [-6.64, -0.69], p = 0.02), though this pooled effect was unstable in leave-one-out sensitivity analysis. Findings on patient satisfaction were inconsistent, and VR showed a non-significant trend toward increased nausea.

The authors note several limitations: no formal protocol was registered or prepared for this review, overall study quality was rated as 'some concerns of bias' in all RCTs, and the pooled effect for anxiety was unstable. The evidence is considered very low or uncertain.

Given these limitations, the current findings do not support the routine use of VR for pain reduction during IUD insertion. The potential benefit for anxiety requires further investigation with higher-quality trials.

Imagine sitting in a doctor's office while a metal device is placed inside your uterus. The procedure is quick, but the needle can feel sharp and scary. Many women dread this moment because they worry about the pain or the unknown.

Getting an intrauterine device, or IUD, is a common way to prevent pregnancy. Millions of women choose this method every year. Yet, the experience can be traumatic for some because of the pain and fear involved.

Doctors often try to make the visit easier with numbing shots or distraction techniques. But what if technology could help? Virtual reality headsets have become popular for pain management in hospitals. They immerse users in calming worlds to take their minds off the procedure.

But here is the twist. A new review of studies found that these headsets do not actually stop the physical pain of an IUD insertion.

The researchers looked at four different studies involving 440 women. They compared women who used virtual reality with those who received standard care. Standard care usually means talking to the patient and maybe using a numbing gel.

The goal was simple. Did the virtual world make the pain go away? Did it make the patient feel less scared?

To understand why this matters, think about how pain works. Pain is a signal from your body telling your brain something is wrong. Your brain acts like a factory manager receiving reports from workers. When a worker says a machine is broken, the manager stops production.

In this case, the machine is your body, and the worker is your nervous system. Virtual reality tries to distract the manager so it ignores the broken machine report. This works well for some things like burns or dental work.

However, the body has a specific way of handling sharp, sudden pain. It is like a red alert that cannot be ignored easily. The brain prioritizes this signal over distractions.

The study found that virtual reality did not significantly change pain scores. The numbers showed no real difference between the group using the headset and the group that did not.

But the story changes when we look at fear. The data showed a significant drop in anxiety for women who used the technology. They felt calmer and less worried about what was happening.

This is a crucial difference. Fear can make pain feel worse. If a patient is terrified, their muscles tighten and their pain signals get amplified. Reducing that fear is a big win for patient comfort.

This doesn't mean this treatment is available yet.

The review noted that the evidence was very low. This means the studies were small and had some concerns about how they were done. The results were not consistent across all patients.

Some women reported feeling more nausea when using the headset. This is a side effect that doctors need to watch for. Not every patient will react the same way to the technology.

Experts say we need more research before calling this a standard option. The current findings do not support using virtual reality as a routine tool for IUD insertion.

So what should you do if you are worried about the procedure? Talk to your doctor about your fears. They can offer numbing gel, a calm environment, and clear explanations.

These simple steps often work better than high-tech solutions right now. Trust your medical team to make the visit as comfortable as possible.

The road ahead involves more trials to see if better headsets or different software could help. Science moves slowly, and we must wait for solid proof before changing standard practice.

For now, the focus remains on simple, proven methods to ease pain and fear. Your health and comfort are the most important things in the room.

Study Details

Study typeMeta analysis
Sample sizen = 440
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
OBJECTIVE: This systematic review and meta-analysis aimed to evaluate the effectiveness of immersive virtual reality (VR) in reducing pain and anxiety during intrauterine device (IUD) insertion by synthesizing evidence from existing randomized controlled trials (RCTs). METHODS: No formal protocol was registered or prepared for this review. A systematic search of Google Scholar, PubMed, Scopus, CENTRAL, and Web of Science was conducted for RCTs published up to September-2025. We included only RCTs (excluding quasi-experimental studies) comparing VR distraction with standard care among women undergoing IUD insertion. The revised Cochrane Risk of Bias tool (RoB-2) was used to assess the quality of included studies. The primary outcome was post-procedural pain, and the secondary outcome was post-procedural anxiety. Standardized mean differences (SMD) with 95% confidence intervals (CI) were pooled for analysis using the random-effects model. RESULTS: Four RCTs involving 440 patients were included. The overall study quality was rated as "some concerns of bias" in all RCTs. VR did not significantly reduce post-procedural pain compared to control (n = 4 RCTs, SMD: -0.30, 95% CI [-1.07, 0.46], p = 0.44; I = 93.16%). VR significantly reduced post-procedural anxiety (n = 3 RCTs, SMD: -3.58, 95% CI [-6.64, -0.69], p = 0.02; I = 98.57%), although the pooled effect was unstable in leave-one-out sensitivity analysis. Findings on patient satisfaction were inconsistent, and VR showed a non-significant trend toward increased nausea. CONCLUSION: Based on "very low"/uncertain evidence, immersive VR distraction does not significantly reduce pain or anxiety during IUD insertion. The current findings do not support the routine use of VR for this indication.
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