Virtual Reality in Outpatient Hysteroscopy

What is virtual reality (VR) headset?

Virtual reality (VR) is a simulated three-dimensional (3D) environment that allows you to explore and interact with virtual surroundings in a way that feels similar to real life.

The technology provides a 360-degree view of calming environments, often enhanced with sound effects. For example, you might see a blue sky, flowing streams, tropical beaches or underwater scenes with seals and fish.

What are the benefits of VR?

• Reduces anxiety and stress
• Decreases discomfort and perception of pain
• Promotes relaxation and mindfulness
• Encourages calm breathing
• Supports general wellbeing and wellness
• Can be combined with other pain relief methods (oral, local or inhaled)
• Non-invasive and easy to use
• Can include music therapy or guided meditation

How does it work?

VR provides effective pain relief without the use of opioids by distracting you from real-world sensations. MRI studies have shown that people using VR report lower pain levels, accompanied by a reduction in pain-related brain activity.

A range of immersive themes is available, such as natural environments or animals (for example, kittens or puppies). You can also choose music and guided meditation or breathing exercises, led by either a male or female voice.

You will receive more information before your visit and can discuss your preferences with your clinician.

Precautions

Some people may experience mild dizziness, nausea or eye strain while wearing a VR headset. This is uncommon but please tell your clinician immediately if you feel unwell.

VR is not recommended for people with:

• Neurological or vestibular conditions (such as epilepsy or balance disorders)
• Severe visual or hearing impairments
• Cognitive impairments

Before your appointment

You should take simple painkillers one hour before your procedure, such as paracetamol and ibuprofen (if safe for you to take). Local anaesthetic or inhaled pain relief can still be used if needed.

During your appointment

If you would like to use VR during your hysteroscopy, please inform the clinician on the day.

Our nursing staff will help you fit the headset and choose your preferred theme. You will still be able to hear and communicate with your clinician throughout the procedure, and you can stop using the headset at any time.

After your appointment

You may be invited to complete a short questionnaire about your experience to help us improve patient care. This is voluntary and will not affect your treatment.

Please contact us if you have any questions or concerns.

Take-home messages

• Virtual reality can reduce anxiety and help you feel more relaxed
• It can also reduce the perception of pain through distraction
• A range of themes and soundscapes are available to promote wellbeing
• You should still take simple painkillers one hour before your procedure (paracetamol and ibuprofen, or an alternative if these are unsuitable)
• Local anaesthetic can also be used to reduce discomfort around the cervix (neck of the womb)
• You remain in control throughout and can stop using VR at any point

Contact information

Gynaecology Outpatients Department
1st Floor, Lift bank B
Chelsea and Westminster Hospital

E: chelwest.oph@nhs.net
T: 07468 740 422 (Mon–Fri, 9am–5pm)

If you need to re-schedule your appointment, please call 24 hours before your appointment to inform our admin team on 020 3315 6666 or email chelwest.oph@nhs.net.

For any medical emergencies, call NHS 111 or go to your nearest emergency department.