Hysteroscopic Sterilization ( Adiana, Essure) is a method of sterilization done in office with minimal sedation and local anesthesia. It is done with a hysteroscope to visualize the tubal openings and with a special device that deploys an insert into the tubes that will lead to scarring and occlusion of the tubes. Both procedures require some form of birth control for 3 months until tubal occlusion is confirmed by an X-Ray (hysterosalpingogram).

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