AzTrials
AzTrials

InfertilityNCT05218382

Pain Relief Using VR in Oocyte Retreival

A study testing Virtual reality and No virtual reality in people with Infertility and Pain, run by The University of Hong Kong at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Title: A randomized study on use of virtual reality technology for pain relief in transvaginal oocyte retrieval under conscious sedation Objectives: The study is to evaluate the effectiveness of virtual reality (VR) in pain relief during transvaginal ultrasound-guided oocyte retrieval (TUGOR) under conscious sedation… Read more about this study

Who is it for?
Ages 18 to 42 years, women only
Conditions the study is for
Infertility, Pain
What is being tested?
Virtual reality and No virtual reality
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
160 participants
Where
1 siteChina
Study dates
1 Dec 2022to 1 Feb 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 42 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • - women aged > 18 years and <43 years
  • understand Chinese
  • undergoing transvaginal oocyte retrieval on both sides

Who cannot join

  • Had known allergy to pethidine, diazepam or local anaesthetics
  • Had oocyte retrieval performed on one ovary only
  • History of claustrophobia/ susceptible to motion sickness

Trial locations and contacts

1 site in 1 country.

China1 site
  • Department of Obstetrics and Gynaecology

    Hong Kong, Hong Kong

Other trials in China

About this study

Official title: A Randomized Study on Use of Virtual Reality Technology for Pain Relief in Transvaginal Oocyte Retrieval Under Conscious Sedation

Title: A randomized study on use of virtual reality technology for pain relief in transvaginal oocyte retrieval under conscious sedation Objectives: The study is to evaluate the effectiveness of virtual reality (VR) in pain relief during transvaginal ultrasound-guided oocyte retrieval (TUGOR) under conscious sedation Hypothesis to be tested: VR can reduce the pain level during TUGOR. Design and subjects: This is a randomized study on additional use of VR during TUGOR. A total of 160 women undergoing oocyte retrieval on both ovaries will be recruited and randomized to one of the following groups: active and placebo groups. Those with known allergy to pethidine, diazepam or local anaesthetics; and history of claustrophobia/ susceptible to motion sickness will be excluded.

Instruments: Immersive VR Interventions: All received women will receive the standard conscious sedation with 25mg IV pethidine and 5mg IV diazepam; and paracervical block of 10ml 1% lignocaine. VR headset will be put on for every woman. It will only be switched on for the active VR group but not the placebo VR group.

Read more

Main outcome measures: The primary outcome measure is the maximal abdominal pain levels during TUGOR measured by a 100mm linear visual analogue scale prior. Secondary outcome measures include the pain of vaginal puncture and the abdominal pain four hours after the procedure prior to discharge from hospital.

Data analysis and expected results: Data will be analysed on intention to treat basis and per protocol. Demographic features of the study groups will be compared. Chi-square test or Fisher's exact test will be used for categorical variables. Mann-Whitney U test will be used to compare the continuous variables between groups. P values of <0.05 will be considered statistically significant.

Read the detailed description

Introduction Transvaginal ultrasound guided oocyte retrieval is an essential process in in-vitro fertilization. The procedure lasts for around 10-15 minutes and is considered as a painful procedure. Different modalities of pain relief methods are used including paracervical blocks(1-3), conscious sedation (4, 5), spinal anaesthesia and general anaesthesia (6). Conscious sedation with anaesthesia was the commonly chosen method in assisted reproduction technology centers; as it enhances a faster post-procedure recovery and less anaesthetic risks as compared with general anaesthesia.

Recently, the use of immersive virtual reality technology has been applied in pain control in different medical fields especially in paediatrics, oncology and burn patients (7, 8). It provides a distraction from the acute pain during procedures and its effectiveness has been shown in meta-analysis (9, 10). In gynaecology, use of VR can significantly reduce the pain in ambulatory hysteroscopy (score 6.0 versus 3.7, p = 0.0009) (11). Another group of investigators also initiated a study on VR as pain relief in hysterosalpingogram (12). While, there is no study evaluating the use of VR in transvaginal oocyte retrieval.

In view of that, the aim of this study is to evaluate the effectiveness of VR in pain relief during transvaginal oocyte retrieval under conscious sedation.

Trial objectives and hypothesis:

The objective is to evaluate the effectiveness of VR in pain relief during transvaginal oocyte retrieval using conscious sedation.

Hypothesis VR can reduce the pain experienced during transvaginal oocyte retrieval using conscious sedation.

Trial design This is a randomized study on additional use of VR during transvaginal oocyte retrieval using conscious sedation. All subjects will receive the standard conscious sedation with 25mg IV pethidine and 5mg IV diazepam; and paracervical local anaesthetic 10ml 1% lignocaine. In addition, they will be randomized to receive immersive VR or not.

Treatment of subjects:

Women undergoing in-vitro fertilization at Department of Obstetrics and Gynaecology of Queen Mary Hospital will be assessed for eligibility. Eligible women will be recruited for the study and informed written consent will be obtained after written and oral information.

Eligible women recruited will be randomly assigned on the day of oocyte retrieval according to a computer-generated randomization list into one of the following two groups.

  1. VR group - The women will receive Immersive VR.
  2. Placebo group - They will have the VR headset put on but blank screen. Blinding of the subjects is not possible due to the nature of the intervention.

Ovarian stimulation and oocyte retrieval will be performed according to departmental Standard Operating Procedures. The VR headset will be put on prior to oocyte retrieval and it will be turned on in the VR group only. The headset will be cleansed with wipes after each use. Disposable hygiene masks will be used below the headset.

25mg Pethidine and 5mg Diazepam will be given intravenously. The blood pressure and pulse of the women are checked after the drug administration and the oxygen saturation is monitored continuously throughout the procedure. 10ml 1% lignocaine is injected to the paracervical region by the operating surgeon with a 21-gauge needle after cleansing of the vagina and cervix with chlorhexidine. Under transvaginal ultrasound guidance, a 16-gauge ovum aspiration needle is introduced. Aspiration of follicles without flushing is performed with a suction pressure of 100mmHg.

Assessment of anxiety Shortly after hospital admission in the morning, women will complete the state-trait anxiety inventory (STAI) questionnaire before oocyte retrieval to assess their trait and state anxiety.

Assessment of pain levels and sedation levels The women will be asked to rate according to a 100mm linear visual analogue scale prior to start of procedure, within 5 minutes after the procedure and four hours after the procedure prior to discharge from hospital.

They will be asked to rate:

  • The anticipated pain during the procedure
  • The worst pain during the procedure

The surgeon will score the sedation level of the women according to the scale described by Ramsay et al., at the end of the operation. Level 1: Patient anxious and agitated or restless or both; Level 2: Patient co-operative, orientated, and tranquil; Level 3: Patient responsive to commands only; Level 4: Asleep and a brisk response to loud auditory stimulus; Level 5: Asleep and a sluggish response to loud auditory stimulus; Level 6: Asleep and no response to loud auditory stimulus.

Any adverse effects experienced such as (nausea, vomiting, dizziness, drowsiness will be recorded.

They will be asked to complete the client satisfaction questionnaire before discharge.

Basic demographic data will be collected including age, indication of infertility, number of oocytes obtained, and duration of procedure.

No extra follow-up visits will be arranged solely for the study unless considered necessary by the investigators.

Conditions
Infertility, Pain
Being tested
Virtual reality, No virtual reality
Keywords
VR, IVF, oocyte retrieval, pain levels
Medical subject headings
Infertility, Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Virtual realityDevice

    immersive virtual reality technology

  • No virtual realityDevice

    Virtual reality with blank screen

Study groups in NCT05218382
Study groupRoleWhat they receive
VR groupExperimentalThe participants will have the the virtual reality headset with immersive virtual reality.
Receives: Device: Virtual reality
Placeob groupPlacebo comparatorThe participants will have the virtual reality headset put on but blank screen.
Receives: Device: No virtual reality

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain levels

    maximal pain level during oocyte retrieval experienced by the participants measured by visual analog scale from 0-100 (maximum); higher levels mean mean painful

    Measured: Day 0

Secondary outcomes (3)
  1. level of unpleasantness

    level of unpleasantness during oocyte retrieval (nil, mild, moderate and severe)

    Measured: Day 0

  2. client satisfaction questionnaire score

    scoring of client satisfaction questionnaire from 10 (minimum) to 40 (maximum); higher scores mean higher satisfaction

    Measured: Day 0

  3. Ongoing pregnancy rate

    Pregnancy rate at 8-10 weeks

    Measured: 10 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Feb 2022
  2. Study start1 Dec 2022
  3. Primary completion1 Oct 2023
  4. Study completion1 Feb 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized controlled superiority trial
Masking
Triple blind
Who is masked
Care provider, Investigator, Outcomes assessor
Enrolment
160 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05218382
Sponsor's protocol ID
TUGOR-VR
Status last verified
May 2024
First submitted
18 Dec 2021
Last updated
8 May 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: No similar studies in this area

Publications

  • Ng EH, Miao B, Ho PC. A randomized double-blind study to compare the effectiveness of three different doses of lignocaine used in paracervical block during oocyte retrieval. J Assist Reprod Genet. 2003 Jan;20(1):8-12. doi: 10.1023/a:1021202604049.

    PubMed 12645862
  • Ng EH, Tang OS, Chui DK, Ho PC. Comparison of two different doses of lignocaine used in paracervical block during oocyte collection in an IVF programme. Hum Reprod. 2000 Oct;15(10):2148-51. doi: 10.1093/humrep/15.10.2148.

    PubMed 11006189
  • Ng EH, Tang OS, Chui DK, Ho PC. A prospective, randomized, double-blind and placebo-controlled study to assess the efficacy of paracervical block in the pain relief during egg collection in IVF. Hum Reprod. 1999 Nov;14(11):2783-7. doi: 10.1093/humrep/14.11.2783.

    PubMed 10548622
  • Kwan I, Wang R, Pearce E, Bhattacharya S. Pain relief for women undergoing oocyte retrieval for assisted reproduction. Cochrane Database Syst Rev. 2018 May 15;5(5):CD004829. doi: 10.1002/14651858.CD004829.pub4.

    PubMed 29761478
  • Lai SF, Lam MT, Li HWR, Ng EHY. A randomized double-blinded non-inferiority trial comparing fentanyl and midazolam with pethidine and diazepam for pain relief during oocyte retrieval. Reprod Biomed Online. 2020 May;40(5):653-660. doi: 10.1016/j.rbmo.2020.01.021. Epub 2020 Jan 31.

    PubMed 32299734
  • Roest I, Buisman ETIA, van der Steeg JW, Koks CAM. Different methods of pain relief for IVF and ICSI oocyte retrieval - A Dutch survey. Eur J Obstet Gynecol Reprod Biol X. 2019 Jun 15;4:100065. doi: 10.1016/j.eurox.2019.100065. eCollection 2019 Oct.

    PubMed 31517299
  • Dunn J, Yeo E, Moghaddampour P, Chau B, Humbert S. Virtual and augmented reality in the treatment of phantom limb pain: A literature review. NeuroRehabilitation. 2017;40(4):595-601. doi: 10.3233/NRE-171447.

    PubMed 28211829
  • Indovina P, Barone D, Gallo L, Chirico A, De Pietro G, Giordano A. Virtual Reality as a Distraction Intervention to Relieve Pain and Distress During Medical Procedures: A Comprehensive Literature Review. Clin J Pain. 2018 Sep;34(9):858-877. doi: 10.1097/AJP.0000000000000599.

    PubMed 29485536
  • Mallari B, Spaeth EK, Goh H, Boyd BS. Virtual reality as an analgesic for acute and chronic pain in adults: a systematic review and meta-analysis. J Pain Res. 2019 Jul 3;12:2053-2085. doi: 10.2147/JPR.S200498. eCollection 2019.

    PubMed 31308733
  • Ahmad M, Bani Mohammad E, Anshasi HA. Virtual Reality Technology for Pain and Anxiety Management among Patients with Cancer: A Systematic Review. Pain Manag Nurs. 2020 Dec;21(6):601-607. doi: 10.1016/j.pmn.2020.04.002. Epub 2020 May 15.

    PubMed 32423641
  • Deo N, Khan KS, Mak J, Allotey J, Gonzalez Carreras FJ, Fusari G, Benn J. Virtual reality for acute pain in outpatient hysteroscopy: a randomised controlled trial. BJOG. 2021 Jan;128(1):87-95. doi: 10.1111/1471-0528.16377. Epub 2020 Jul 22.

    PubMed 32575151
  • Wang YL, Gao HX, Wang JS, Wang JH, Bo L, Zhang TT, Dai YL, Gao LL, Liu Q, Zhang JJ, Cai JM, Yu JQ, Li YX. Immersive virtual reality as analgesia for women during hysterosalpingography: study protocol for a randomized controlled trial. Trials. 2020 Jan 20;21(1):102. doi: 10.1186/s13063-019-4023-y.

    PubMed 31959220
  • Ng CSM, Tong PYW, Wong E, Cheng HHY, Ko JKY, Li RHW, Ng EHY. Randomized controlled study on the use of virtual reality for pain relief in oocyte retrieval under transvaginal ultrasound guidance using paracervical block and conscious sedation. Hum Reprod. 2025 Dec 1;40(12):2310-2317. doi: 10.1093/humrep/deaf188.

    PubMed 40974211

Questions about this trial

What is this clinical trial studying?

A study testing Virtual reality and No virtual reality in people with Infertility and Pain, run by The University of Hong Kong at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain levels (time frame: Day 0). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05218382, which also lists 13 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 May 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in