Permanent Methods

Adiana Permanent Birth Control

Adiana was a type of permanent birth control for women. For fiscal rather than safety reasons, production, sale, and distribution of Adiana has been discontinued in April 2012. The discontinuation should trigger no higher concern for you in the event that you have used Adiana. If you are interested in a similar type of birth control, then ask your doctor about ​Essure.

  • Overview

    Adiana was a permanent birth control method that received FDA approval on July 8, 2009. This contraceptive option proved to be a simple, secure, hormone-free procedure that permanently prevented pregnancy. Adiana was designed to be a less-invasive alternative to tubal ligation and is comparable to having your tubes tied. Adiana functioned by stimulating your body’s tissue to grow in and around tiny, soft folds that are placed inside your fallopian tubes.

    Steps of the Procedure

    The Adiana process consisted of four measures that did not require an anesthesia and May be performed in a doctor’s office using local anesthesia in as little as 15 minutes:

    • Measure 1: A slender, flexible instrument is passed through the cervix and vagina into the uterus and delivers a low degree of radiofrequency energy to a small section of each fallopian tube. This energy creates heat to make a shallow lesion.
    • Measure 2: A little, soft insert (about the size of a rice grain) is subsequently put in each of the fallopian tubes precisely where the energy has been implemented.
    • Step 3: New tissue begins to form across the Adiana inserts. This tissue will fully block the fallopian tubes, permanently preventing conception. A woman must use temporary birth control (such as male condoms, female condoms, the sponge, or spermicide) during the three months after the procedure while the new tissue grows.
    • Step 4: At three months, a hysterosalpingogram evaluation is performed to ensure your tubes are fully blocked. This test will ensure that the Adiana permanent birth control process has been successful.

    Advantages

    • Quick recovery. There are no incisions to heal and no recovery time from anesthesia. Most women can return to their normal activities within a day and report little to no discomfort.
    • Leaves nothing in your uterus.  The Adiana inserts are fully enclosed inside the fallopian tubes, leaving nothing in your uterus that might restrict your options for future gynecologic tests or procedures.
    • Adiana includes no hormones and the inserts are made of a secure, medical-grade silicone.
    • The Adiana process can be achieved three weeks after giving birth.
    • Might help prevent menorrhagia (unusually heavy or prolonged menstrual periods), particularly when coupled with NovaSure Endometrial Ablation

    Risks and Side Effects

    • A small risk of pregnancy (including an ectopic pregnancy).
    • Struggling to attain proper placement of inserts in one or both fallopian tubes, or that one or both tubes will not be completely blocked (if those occur, Adiana will not reliably protect against pregnancy).
    • Side effects during or immediately after the process may consist of mild to moderate cramping, vaginal spotting or bleeding, pelvic or back pain, and/or nausea.

    Tubal Reversal

    Adiana ought to be considered permanent and isn’t reversible. In accordance with Hologic, Inc.. Women’s Health Company, the maker of Adiana permanent birth control, there’s no data on the effectiveness or safety of any surgical effort to reverse the Adiana process.

    Effectiveness

    Based on three decades of clinical information, Adiana is 98.4 percent successful in preventing pregnancy, but this is just once your doctor confirms that your fallopian tubes are completely blocked. This means that of every 100 women who use Adiana, 1.6 will become pregnant in 1 year.

    Alternatives

    If you think there’s any chance you need children later on, permanent birth control might not be perfect for you. However if you’re interested in permanent contraception without surgery, then the Essure procedure may be a good alternative.

    Essure provides permanent birth control with two small metal inserts placed in each fallopian tube. Over time, the inserts will have scar tissue to grow around them, and then the scar tissues will permanently block the tubes. Essure can’t be reversed–so that it might not be the perfect choice if you’re feeling pressured by somebody else to have the process. Also, because the Essure procedure is a significant decision, you shouldn’t make this decision if you’re under stress or in the center of a significant life change (such as through a divorce or after a miscarriage).

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