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By Mayo Clinic staff
The Adiana system is usually implanted as an outpatient procedure. Your health care provider may inject a local anesthetic into your cervix before the procedure, which typically lasts 15 minutes.
During the procedure
Your health care provider will insert a hysteroscope — a thin tube equipped with a camera lens — through your vagina and cervix into your uterus and then fill your uterus with fluid. This will allow your health care provider to see both fallopian tube openings.
Using a small catheter attached to the hysteroscope, your health care provider will use a bipolar electrical current to heat a portion of your fallopian tube, then he or she will place a tiny piece of silicone matrix inside your fallopian tube. Your health care provider will repeat the procedure on your other fallopian tube.
After the procedure
You may be allowed to go home immediately after the procedure and return to your normal activities the same day. Side effects may include:
- Bleeding or spotting
- Cramping
- Headache
- Nausea or vomiting
- Pelvic or back pain
Contact your health care provider immediately if you have:
- Fever
- Heavy bleeding
- Severe or persistent pelvic pain
During the three months following the procedure, you must use another method of contraception. After three months, you'll have an X-ray (hysterosalpingography) or an ultrasound to confirm the correct placement of the Adiana system and verify that your fallopian tubes are blocked. If the procedure is successful, you can stop using other forms of birth control at this point. If implantation isn't successful, you may need to repeat the procedure.
If you think you're pregnant at any time after the procedure, contact your health care provider immediately.
- Adiana (prescribing information). Bedford, Mass.: Hologic Inc.; 2009. http://www.adiana.com/hcp.html. Accessed Dec. 15, 2011.
- Smith RD. Contemporary hysteroscopic methods for female sterilization. International Journal of Gynecology and Obstetrics. 2010:108;79.
- Abbott J. Transcervical sterilization. Current Opinion in Obstetrics and Gynecology. 2007;19:325.
- Roncari D, et al. Female and male sterilization. In: Hatcher RA, et al. Contraceptive Technology. 20th ed. New York, N.Y.: Ardent Media, Inc.; 2011:435.
- Sterilization for women and men. American College of Obstetricians and Gynecologists. http://www.acog.org/~/media/For20Patients/faq011.ashx. Accessed Dec. 15, 2011.
- Greenberg J. Hysteroscopic sterilization. http://www.uptodate.com/home/index.html. Accessed Dec. 12, 2011.
- Birth control methods. U.S. Department of Health and Human Services. http://www.womenshealth.gov/publications/our-publications/fact-sheet/birth-control-methods.cfm. Accessed Dec. 12, 2011.
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