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Livia sends safe electrical pulses into your abdomen to block pain sensations from reaching your brain in order to give you pain relief from period cramps. Our review examines whether this device works and who can benefit from it.


  • The discrete device can be worn without detection
  • 14-hour charge should last all day
  • Begins relieving pain within 30 seconds
  • 90% of users in clinical trials experienced some level of pain relief


  • Clinical studies involved small sample sizes
  • Doesn’t work for all participants
  • Might not work for plus-sized users

Livia Review: A Detailed Look

By Lydia Noyes

Updated on: Jun 30, 2020

Medically Reviewed by Anthony Dugarte, M.D., C.S.C.S

Livia is a device that allegedly helps alleviate cramps and pain related to menstrual cycles. This subtle device should be worn against your skin, and by pushing a button, you can make it stimulate your nerves to block pain.

The company claims that using Livia is safe for all users and capable of providing immediate relief.

In this analysis, we’ll investigate whether Livia will work as described and whether it’s worth the investment.

How Does Livia Work?

Livia’s underlying technology is based on what’s known as the Gate Control Theory. Dr. Anthony Dugarte, HighYa’s medical researcher, said that this theory was first developed in the 60s by Ronald Melzack and Patrick Wall.

The theory’s premise is that pain sensations associated with injuries are transmitted to the brain from the peripheral nerves through the spinal cord. Along the way, the pain signal encounters “gates” it must go through to continue passing on the message. If these gates are closed, your brain can’t sense the pain.

“The interplay between the central and peripheral nervous systems is complex and not completely understood, says Dr. Dugarte. “Nonetheless, it seems as though a number of factors can affect whether the nerve gates are open or closed.”

Products like Livia work to close these gates by stimulating your nerves so that you don’t feel pain in real-time. This device uses the company’s patented “SmartWave” technology to send out electric micro-pulses to prevent you from feeling menstrual pain.

Once you start using the device, you should experience some level of pain relief within a minute.

Livia utilizes similar mechanisms of action to TENS units (transcutaneous electrical nerve stimulation), as both provide pain relief through stimulatory impulses.

They will differ in their pulse frequency and the specific waveforms they send out. The company claims that Livia is the only TENS-style product optimized explicitly for period pain.

Clinical Studies

Livia has undergone three clinical trials since its creation in 2016. Below is a summary of the results from these studies:

  • Study 1: 61 women were assessed for menstrual pain over four cycles. 90% experienced pain relief when using a Livia prototype, 31% reported complete relief, and 32% found that it delivered relief faster than drugs.

  • Study 2: 102 women monitored their menstrual pain for four cycles, using an improved prototype. 86% reported pain relief, 57% experienced complete pain relief, and 72.5% stated it worked faster than drugs.

  • Study 3: 65 women monitored period pain for two cycles. Half used a Livia prototype, and half used a sham device that created tingling sensations for the first cycle, and then both groups switched. The study found a statistically significant difference between the prototype and sham device, and participants reported general improvements in their quality of life after using it.

Though these findings seem promising for Livia’s effectiveness, it’s essential to keep them in context.

“While the independent testing does add some merit to their claims, they have yet to be published,” Dr. Dugarte shares. “This means they have not gone through a rigorous peer-review process to determine if their methods were sound.”

Likewise, the sample sizes are small and might not be indicative of the general population’s response to the device. Saying that, it seems that Livia and similar products do show promise for managing period pain for some users.

Side Effects

Livia works externally, which means that it doesn’t have any impact on your menstrual cycle, hormone balance, or other functions.

Likewise, there are no known side effects associated with using the device as described.

The one exception is if you have a heart pacemaker, as the device’s electrical impulses may interfere with it. Don’t use Livia if you have one.

How to Use Livia

Livia comes as a small colored device (about the size of an MP3 player) with two connected electrode pads that come pre-coated with gel.

You are meant to stick onto your skin at the site of the pain, usually your lower stomach or back. Secure the device in your pocket or by clipping It to your pants and turn it on.

It’s designed to be inconspicuous to wear throughout daily life or even while exercising – though keep it from getting wet.

The device can be recharged through a micro USB cable, and a single charge should last up to 14 hours.

A small LED indicator above the power button shows you what level the device is set on and how to adjust it from high to low intensity. There are 16 settings total, and tapping the button four times will increase it by one.

Pricing and Refund Information

One-Time Purchase Subscription
Cost $199 $8/mon. (The first month is free, $29 signup fee)
Warranty 2 years Lifetime
Gel Pods 3-month supply Lifetime supply (request more when needed)
Shipping Free across the US Free worldwide
Bonus Features NA Receive new Livia every three years

You can also purchase a six-month supply of gel pods for $29.

With the subscription plan, you must sign up for a minimum of four months. You can return your Livia and cancel your subscription at any time after.

It’s also possible to purchase Livia “skins” to change the color and texture of your device. Each costs $12.

One-time Livia purchases come with a 120-day money-back guarantee. The device must be in good physical condition, and you are responsible for all taxes and return shipping costs.

Analysis of Customer Reviews

There are more than 90 reviews for Livia on our website, averaging 3.2 stars. Here’s are the most common trends:


  • Easy to take out in public when necessary
  • Reduces period pain as well as painkillers or a heating pad
  • Period relief without side effects


  • Slow refund process or refund not honored
  • Didn’t relieve period pain as promised
  • Might not be big enough for plus-sized users

The Bottom Line

Livia claims to offer women with painful periods a drug-free way to get their lives back with minimal inconvenience. The existing clinical trials are small, but they indicate this electrical stimulus device could be effective for many people.

“I do like that Livia is non-invasive, drug-free, and FDA approved,” says Dr. Dugarte. “Independent clinical testing shared by Livia demonstrated safety and efficacy when this product is used as directed.”

However, it’s important to acknowledge that there are multiple causes of menstrual pain, and a device like Livia merely works to cover up the symptoms rather than addressing the problem.

Dr. Dugarte is concerned that using the device might cause you to delay seeking medical treatment for your pain that could potentially lead to the diagnosis of a serious health issue.

If you deal with chronic, debilitating menstrual pain, it’s best to talk with your doctor about your symptoms to rule out other health problems first.

Customer Reviews

4.4 Stars out of 295 Reviews
5 Star:76% 4 Star:9% 3 Star:0% 2 Star:0% 1 Star:13%
86% Recommend This Product
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Posted on Jun 7, 2021

It works!

By Anita-Elisabeth B., Asker, Norway, Verified Reviewer

I’m happy with Livia and the natural method to ease period cramps. I have assistants that have borrowed mine, and they took less painkillers! Isn’t that amazing? Something that actually helps, and maybe we can finally relieve the pain and reduce the use of meds! This is healthier for everyone!

Length of Use: 2+ years

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Pain relief



Loosened up a bit too fast

The cord just snapped

Could be better to attach for wheelchair users

Posted on Jun 3, 2021

No more pain!

By Alja K., Afferden, Limburg, Netherlands, Verified Reviewer

Easy to use, several options for pain management and great colors, and it works perfectly for me! I can charge it wherever and use it whenever I need it.

Length of Use: 2+ years

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Pain management choices

Tiny product



Posted on Jun 2, 2021

Love it!

By Jessica D., Ottawa, Ontario, Canada, Verified Reviewer

I love my Livia - it is more effective than any painkillers and is super discrete so I can wear it around during my day. The skins are cute and you can change them depending on how you feel!

Length of Use: 2+ years

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons



Cute designs

Would like more settings

Battery charge

Posted on May 4, 2021

A helpful device

By Jessica S., Oregon, Verified Reviewer

It's not magic but it helps!

It's not magic and I still have some discomfort, but the worst of the pain is gone when I use my Livia. I've had it for over a year and I use it nearly every month, I've even traveled with it. It's small, discreet, and easy to use. Ordering tip: buy extra sticky pads! They get gummy and worn out quicker than I expected.

Length of Use: 1–2 years

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons



Easy to use

Gummy pads

Short leads

Not 100%

Posted on Apr 27, 2021

Simply great!

By Jessica R., Italy, Verified Reviewer

Finally something that really works! I’ve been using it for years now, I’m so so happy! Great product, can’t recommend it highly enough. Thanks Livia!

Length of Use: 2+ years

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Easy to use

Really works


No “cons” were specified in this review

Posted on Apr 26, 2021

Works great

By Anouk J., The Netherlands, Verified Reviewer

It really helps to relieve my period pain, if I have shooting pains I still feel them but with Livia, it is much better. I hardly have to take any additional painkillers anymore.

Length of Use: 2+ years

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons


Pain relief without taking pills

The cables of the electrodes are fragile

You don't really know when the battery is going to run out

Posted on Apr 26, 2021

Finally some relief

By Brittany M., Ontario, Canada, Verified Reviewer

I suffer from endometriosis and have tried everything with no success with the pain for periods. Well, that was before trying Livia, and I have never been happier until now. I finally can get relief from my period pain, and sleep at night.

Length of Use: 6–12 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

The size

How easy it is to use

That I can’t take it everywhere

No “cons” were specified in this review

Posted on Apr 25, 2021

Livia is a lifesaver

By Nikkii O., Oregon, Verified Reviewer

I have always experienced extreme cramps that leave me crying on the couch and nothing seemed to help. That is, until I bought the Livia. As soon as I turned it on, the cramps lessened to a hardly noticeable ache and my mood heightened. The brain fog from the pain cleared as well. My only complaint about the product is how quickly the sticky pads lose their ability to adhere.

Length of Use: 2+ years

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

The easily changeable electric stimulation.

The clip to hold it on clothes without it being seen.

Its general stealthy design.

Gel pads lose ability to adhere quickly.

Isn't the most comfortable of things to wear as a slightly larger woman.

Posted on Apr 16, 2021

It really works for me!

By Natalie A., Israel, Verified Reviewer

As someone who was misdiagnosed with endometriosis, I know about menstrual pain. For years, I took BC to cope with period pain, though it didn't help much. I found Livia when it first came out and was eager to try anything that could maybe help me cope with the first two days of a cycle, they are the hardest for me! I bought Livia and it was delivered relatively quickly and when I tried it for the first time, within a minute I felt the difference. Once I got used to the sensation, I forget it was there but felt significantly less cramping pain. It clipped right on top of my waistband and is quiet and wireless, so no one knows you're wearing it. It's one of those gadgets that I actually use and really works.

Length of Use: 2+ years

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Wireless and rechargeable

Can wear all day as needed

Instant pain relief

The battery light is a little unclear

Posted on Apr 8, 2021

Grateful for Livia

By Vanessa V., Puerto Rico, Verified Reviewer

It helped me to continue my normal life, almost forgetting my period. I have the worst period cramps since I was 11 years old, having bed rest and strong medications to alleviate the pain. Now with Livia and sometimes Advil or Tylenol, my pain goes away.

Length of Use: 6–12 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Helps me to continue my normal life

Alleviates my pain

No need for strong medication

I can’t sleep with it

I need to have it on 24 hours on my period and its battery dies in 10 hours

Posted on Apr 7, 2021

It works!

By Andrea L., Spain, Verified Reviewer

When I found out about this product, I didn't think it would work. I had tried every drug on the market, and nothing worked for me. I've had endometriosis for years and my periods are very painful. I vomit and get dizzy from the pain.

When I bought Livia I thought it wouldn't work for me, but it worked. The first time I tried it the pain disappeared within a few minutes. It was incredible. I didn't believe it. Since then every time I have my period, I use it and I can get on with my life.

I think it is an incredible invention and that I recommend it to all women who have pain in their periods.

Length of Use: 3–6 months

Bottom Line: Yes, I would recommend this to a friend

Pros and Cons

Takes away the pain

Easy to use

Small, discreet, drug-free

Short battery

Showing 1-11 of 295

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