Essure was on the market before Adiana. Its inserts contain stainless steel and PET fibers, and upon placement of Essure, tissue will grow around the inserts. Adiana inserts do not contain steal, but their insertion process combines slightly damaging the fallopian tube walls to encourage the inserts to grow in. Some doctors say that the Adiana process (What is Adiana permanent contraception?) is more difficult than the Essure process, because it is more difficult to see where they are going. We've looked around and encountered plenty of stories about the two birth control systems.
Our conclusion? Both Essure and Adiana are pretty nifty systems. We are amazed they exist, and think they can both be a wonderful solution for women who need permanent birth control with no chance of reversal, but not surgical interventions either. However, some women complain that the Adiana procedure did not last 12 minutes as advertised, and mentioned pain despite local anesthesia. Some women also mentioned that Adiana was not placed properly, or even that the inserts completely disappeared. Admittedly, the evidence we gathered is completely anecdotal. However, we are more impressed with the Essure method. Easier placement, more available data due to longer availability on the market, and seemingly higher success rates (or should we say, fewer failures?) convinced us that, if we had to choose, we'd pick Essure birth control.