5 On Your Side

New procedure permanently prevents pregnancy

Posted July 30, 2010

For decades, women have been looking for less invasive options to permanently prevent pregnancy. Now, there's a new type of contraception that can be done in minutes under local anesthesia.

Amanda Belena, 35, had a tough time delivering her two girls.

“(I had) two previous abdominal surgeries that were major, and then on top of that each of my children were C-sections, so that created further scar tissue,” she said.

Belena’s doctor told her she should not have more kids, so Belena looked for a permanent solution.

“Knowing that I can't get pregnant, no matter what happens, was the most important factor,” she said.

New procedure permanently prevents pregnancy New procedure permanently prevents pregnancy

Instead of having surgery to have her tubes tied, Belena chose the new Food and Drug Administration-approved procedure called Adiana. There are no incisions or cuts, it requires only local anesthesia and it's done in minutes.

An instrument delivers low level radio-frequency energy to each fallopian tube. A tiny insert, about the size of a grain of rice, is then placed in each tube.

“We place this little spongy material inside. We kind of drop it there. Then, the body forms scar tissue around the spongy material and just seals everything shut,” said Dr. Jacques Moritz, with Roosevelt Hospital in New York.

The procedure is similar to another permanent birth control procedure called Essure, which uses a tiny metal coil insert, rather than Adiana's softer sponge insert.

Although the Adiana’s procedure has been available for about a year, there is only a handful of doctors doing it around the country. Belena said she was glad she had the option.

“In the end, when I thought of my health and being there for my two girls, it was an easy decision,” she said.

And with virtually no recovery time, she was able to stay on her toes with her girls. Doctors say another form of contraception is necessary the first three months after the procedure while tissue grows around the inserts.


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  • kkdford Aug 6, 2010

    This procedure is less invasive and has a shorter recovery time than a vasectomy. And it's more effective. It is the single most effective form of birth control currently available. Plus, I really don't see it as a taking turns situation with my husband. Women give birth by virtue of how we're built; not because our husbands don't want to. Although I'm sure they wouldn't volunteer! This procedure is really no big deal. It can be done right in the doctor's office and takes less than 30 minutes. Easy as pie! Also, once the tissue builds up around the "implants", you know you won't get pregnant. Sometimes men with vasectomies can still cause pregnancy. That won't happen with this. Once the tubes are blocked, that's it. They're blocked.

    Some women, for whatever reason, won't do anything that is permanent. Those are typically women who didn't have major issues during they're pregnancies or don't mind having a lot of children. I'm neither of those. I definitely wanted some

  • Baybee Doll Aug 5, 2010

    I don't like things that aren't reversible.

  • tarheelsoccer Aug 4, 2010

    Why not have your husband or partner do a vasectomy instead of another procedure after having two babies and surgical deliveries of both.

  • JustOneGodLessThanU Aug 4, 2010

    kkford, no problem. I'm with ya. Use birth control to your heart's content. :-)

    Heck, I've even met Bill Baird...the guy who got birthcontrol legalized with a Supreme Court case in the 70's. He had to fight a lot of so-called "less government", religiously-motivated, people who wanted to (some still want to) control what birthcontrol we can or cannot use in the privacy of our own homes.

  • kkdford Aug 4, 2010

    hereandnow99, I need to apologize! I just realized your comment was directed at HappyGirl08 and not the girl in the article. My mistake! Sorry about that:)

  • kkdford Aug 4, 2010

    I actually just recently had the Essure procedure done. It is not invasive at all and is more effective than tubal ligation and the birth control pill. Plus, it sounds like hereandnow99, you may not have done much of your own reading or research on the pill. The birth control pill is meant for women who are under 40. Then what? Take the chance of getting pregnant? I don't think so. I'm in a situation similar to the woman in the story. It is life threatening for me to get pregnant again. My first and only pregnancy was very scary, and I'm not willing to take that chance again. There is absolutely nothing wrong with permanent birth control options. What you also may not know is that this may be "new" to the public, but they've been researching these new procedures for years.

  • JustOneGodLessThanU Aug 2, 2010

    HappyGirl, you don't sound very happy.

    Why are you creating myth-information? Why are you creating fear where there is none? Don't like birth control? Is medicine against your religion? What?

  • JustOneGodLessThanU Aug 2, 2010

    Great news! Great job, Science & Medicine!!! :-)

    And, it seems that this would also work for men...

  • HappyGirl08 Aug 2, 2010

    And in 20 yrs when all these women have horrible diseases because of this it will be really sad.