Inclusion Criteria:  Indications for hysteroscopy under RN-provided sedation  Exclusion Criteria:  Inability to provide informed consent to participate in the study (e.g. significant language barrier) Severe cognitive impairment Chronic benzodiazepine use Chronic opioid use Presence or history of psychotic psychiatric disorders Presence or history of seizure disorders Visual acuity <1 with correction Hearing impairment requiring correction