Adiana Permanent Birth Control

No Longer Available

Adiana was a type of permanent birth control for women. For financial rather than safety reasons, manufacturing, sale, and distribution of Adiana was discontinued in April 2012. The discontinuation should cause no increased concern for you if you have used Adiana. If you are interested in a similar type of birth control, ask your doctor about ​Essure.

Adiana permanent birth control
Dawn Stacey

Steps of the Procedure

    • The Adiana procedure consisted of four steps that did not involve an incision and could be performed in a doctor’s office using local anesthesia in as little as 15 minutes:
      Step 1: A slim, flexible instrument is passed through the vagina and cervix into the uterus and delivers a low level of radiofrequency energy to a small section of each fallopian tube. This energy generates heat to create a superficial lesion.
    • Step 2: A small, soft insert (about the size of a rice grain) is then placed in each of the fallopian tubes exactly where the energy was applied.
    • Step 3: New tissue begins to form around the Adiana inserts. This tissue will completely block the fallopian tubes, permanently preventing conception. A woman must use temporary birth control (like male condoms, female condoms, the sponge, or spermicide) during the three months following the procedure while the new tissue grows.
    • Step 4: At three months, a hysterosalpingogram test is performed to confirm that your tubes are fully blocked. This test will ensure that the Adiana permanent birth control procedure has been successful.
    • Quick recovery. There are no incisions to heal and no recovery time from general 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 completely enclosed inside the fallopian tubes, leaving nothing in your uterus that might limit your options for future gynecologic tests or procedures.
    • Adiana contains no hormones and the inserts are made of a safe, medical-grade silicone.
    • The Adiana procedure can be performed three months after giving birth.
    • May help stop menorrhagia (unusually heavy or prolonged menstrual periods), especially when combined with NovaSure Endometrial Ablation
    • A small risk of pregnancy (including an ectopic pregnancy).
    • Failure to achieve correct placement of inserts in one or both fallopian tubes, or that one or both tubes will not be completely blocked (if these occur, Adiana will not reliably protect against pregnancy).
    • Side effects during or immediately after the procedure can include mild to moderate cramping, vaginal spotting or bleeding, pelvic or back pain, and/or nausea.


Adiana was a permanent birth control method that received FDA approval on July 8, 2009. This contraceptive option was a simple, safe, 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 worked by stimulating your body's own tissue to grow in and around tiny, soft inserts that are placed inside your fallopian tubes.

Risks and Side Effects

Tubal Reversal

  • Adiana should be considered permanent and is not reversible. According to Hologic, Inc. Women's Health Company, the manufacturer of Adiana permanent birth control, there is no data on the safety or effectiveness of any surgical attempt to reverse the Adiana procedure.


    • Based on three years of clinical data, Adiana is slightly over 98 percent effective in preventing pregnancy, but this is only 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 one year.


    • If you think there is any chance that you want to have children in the future, permanent birth control may not be right for you. But, if you are looking for permanent contraception without surgery, then the Essure procedure may be a good option.
    • Essure provides permanent birth control by having 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 tissue will permanently block the tubes. Essure cannot be reversed—so it may not be the right choice if you're feeling pressured by someone else to have the procedure. Also, because the Essure procedure is a major decision, you shouldn’t make this choice if you’re under stress or in the middle of a major life change (like during a divorce or after a miscarriage).
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Article Sources
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  2. Hologic, Inc., authors Adiana Permanent Contraception Instructions for Use and Radiofrequency (RF) Generator Operator’s Manual.

  3. Herbst SJ, Evantash EG. Clinical performance characteristics of the adiana® system for permanent contraception: the first year of commercial useRev Obstet Gynecol. 2010;3(4):156–162.

  4. Anderson TL, Vancaillie TG. The Adiana System for permanent contraception: Safety and efficacy at 3 years.Journal of Minimally Invasive Gynecology. 2011 Oct 31; 18(5):612-616.