If you're looking for a non-surgical method of permanent contraception, take a look at Essure. It uses micro inserts placed in the fallopian tubes. I had this procedure done in 2004, 2 months after the birth of my 2nd child and I've had no issues, no pain, extra bleeding, nothing since I've had it done.
I spent a grand total of 2.5 hours from the doctor appt to schedule the procedure, to the 3 month follow up x-ray to ensure proper placement. Its a fast procedure all around and I went home and took care of my kids afterward, didn't need any help or recoup time. I experienced a normal peroid directly after insertion (4-5 days, mild-moderate cramps, moderately heavy flow - this is my norm) and haven't had to think about it again since the 3 month mark when I had a placement x-ray done (they do this to ensure it works!).
My cousin (just to contrast our experiences) had a tubal ligation after her 2nd child. She spent 3 days off of work, needed pain medication, and (I kid you not) bled heavy with massive cramps for 2 weeks straight. She hated life for a couple weeks after the tubal.
Adiana seems similiar to Essure but something I noticed was the fail rate for Adiana was 1.1%. Essure's is .26%, less than tubal ligation failure rates. Just something to be aware of. I would definately recommend a good micro insert over tubal ligation. With a quick look over the Adiana website though, I'd put Essure over Adiana.
Another point I noticed is that Adiana is made of silicone, Essure isn't.
If you're really concerned about micro inserts, ask for a patient advocate or something similiar and ASK for the horror stories, the serious problems that have been encountered by women due to the inserts. If its a decent company they should be able to tell you what serious problems have been encountered, if they hide it or "don't maintain records" on that I'd look for a different company.
