[Impact of HypnoVR© with local anesthesia on pain and anxiety during oocyte pick-up]

Gynecol Obstet Fertil Senol. 2024 Nov 8:S2468-7189(24)00331-3. doi: 10.1016/j.gofs.2024.10.011. Online ahead of print.
[Article in French]

Abstract

Objective: Virtual reality with Snow World shows a 45% decrease in painful peaks during the care of burn victims. Hypnosis has anxiolytic effect and modulate the response to pain. HypnoVR© is based on many concepts recognized in medicine accessible without specific training. In our practice, 95% of oocyte pick-up are made with local anesthesia and simple premedication, whereas conscious sedation is recommanded in Europe. HypnoVR© is systematically offered during oocyte pick-up. Our study had to compare the pain felt between the 2 group with or without HypnoVR©, also anxiety, tolerance and satisfaction of patients.

Method: It was a prospective comparative, non-randomized, single-center, open-label study. We included all patients who were to benefit from an oocyte pick-up from 18 to 43 years-old. The usual protocol of pick-up was used and it was possible to add HypnoVR©. A questionnaire was distributed to each patient to collect their opinion.

Results: A total of 112 patients were included, 60 without HypnoVR© and 52 with HypnoVR©; 2 were excluded from the main analysis for missing data. There is no statistically significant difference in pain and anxiety between the groups. Patients are satisfied: 90.20% (n=46/52) would like to use it again and 98.04% (n=50/52) would recommend it.

Conclusion: Despite the absence of a statistically significant difference, patients are satisfied with HypnoVR© and tolerance is good. It seems interesting to be able to offer it during oocyte pick-up.

Keywords: Anxiety; Anxiété; Douleur; Fécondation in vitro; In vitro fertilization; Oocyte retrieval; Pain; Ponction ovocytaire; Réalité virtuelle; Virtual reality.

Publication types

  • English Abstract