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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

4.3 Stars out of 280 Reviews
5 Star:76% 4 Star:8% 3 Star:0% 2 Star:0% 1 Star:13%
86% Recommend This Product
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Posted on Mar 4, 2021

Best investment I've made for my pelvic pain!

By Heather G., Fort Worth, TX, Verified Reviewer

I first came across Livia on Facebook in 2018, and I'm glad I discovered it!

I deal with disabling Chronic Pelvic Pain with no known cause, especially during the first 2-3 days of my menstrual cycle, and I used to rely heavily on narcotic pain meds during that time.

Ever since I first tried Livia, I've been able to stay almost completely off of narcotic pain meds! Shipping can sometimes take a while, but it's worth the wait, and shipping has gotten faster since I first discovered Livia!

Though I'm not completely pain-free, Livia helps greatly reduce my pain level each month! I would absolutely recommend Livia to anyone who needs help managing pelvic pain!

Length of Use: 2+ years

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

Pros and Cons





Belt clip doesn't always stay attached to my clothing

Posted on Mar 4, 2021

Works well!

By Allison P., Vancouver, British Columbia, Canada, Verified Reviewer

Great little machine! I am pleased with how well it works and how easy it is to use. Going on two years with it and no issues!

Length of Use: 1–2 years

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

Pros and Cons


Ease of use



Posted on Mar 3, 2021

Best thing ever!

By Amanda N., Stockholm, Sweden, Verified Reviewer

A life-saver that has given me my life back! So small and convenient and perfect for my everyday life! The price point is perfect and there is a lot of customization!

Length of Use: 1–2 years

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

Pros and Cons

The pain relief


That it is not more well known

Posted on Mar 3, 2021

Very happy with my Livia!

By Rachel S., London, United Kingdom, Verified Reviewer

Very small and very effective for menstrual and adhesion pain. I was given a TENS machine at the hospital, but needed something smaller for work. This is perfect and discreet, people don't even know I have mine on!

Length of Use: 1–2 years

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

Pros and Cons

Effective pain relief

Comes with a case

Small and discreet

No “cons” were specified in this review

Posted on Mar 2, 2021

Livia changed my life.

By Majden V., Qatar, Verified Reviewer

I used to suffer from dysmenorrhea. In 2019 my doctor informed me that I have a small stone in my kidney and one of the causes is excessive use of pain relievers. Whenever I have my monthly period I will normally take 6 tablets of pain reliever but that changed when I got my first Livia. I no longer need to take pain killers, a simple press on my Livia takes my pain away. Kudos Livia!

Length of Use: 3–6 months

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

Pros and Cons


Easy to hide

Easy to use

No “cons” were specified in this review

Posted on Mar 2, 2021

I got my friends hooked!

By Annelise P., Louisiana, Verified Reviewer

My friends and I all suffer from HORRIBLE periods so when I got Livia, I raved about it. They were curious and I let them try now they all have their own!

Length of Use: 6–12 months

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

Pros and Cons



Very effective

No “cons” were specified in this review

Posted on Mar 1, 2021

Amazing option to reduce pain medication intake

By Nicole M., Ponce, Puerto Rico, Verified Reviewer

It is a very good option to manage cramps and pain without overusing meds. Very discrete. I was able to walk long distances and work my 8-hour shift without needing to recharge it. Also, I needed none to little medication to relieve my pain thanks to Livia. I have had it for 3 years and it works wonders. Definitely recommend it to other women that experience cramps in their pelvis and/or back.

Length of Use: 2+ years

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

Pros and Cons

Works instantly

Long battery life


Damage to the pad cables

Posted on Feb 27, 2021


By Johnnielynn R., Michigan, Verified Reviewer

I hate taking medication. For pain or anything. So I tend to just suffer. Now with this medication-free device, I don’t have to. I catch my niece stealing it too so she can have pain relief all day, even at school.

Length of Use: 6–12 months

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

Pros and Cons

Medicine free

Actually works

No “cons” were specified in this review

Posted on Feb 26, 2021

Best thing for periods

By Charlotte E., Nottingham, United Kingdom, Verified Reviewer

It is so easy to use and saves so much money on pain relief! Battery lasts up to 8 hours, it a perfect must-have!

The only thing that could be approved upon would be having 4 pads, not 2.

Length of Use: 1–2 years

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

Pros and Cons


Easy to use

Pain relief

Battery life

Only 2 pads

Posted on Feb 25, 2021

Works wonders but should be available to buy separate

By Anna R., Sweden, Verified Reviewer

Both my sister and I get really bad period cramps, and Livia works wonders for both of us. It's tiny and practical to take with you everywhere and the battery lasts for 6-8 hours. I've been really satisfied with the product however (after 3 years) my device has stopped working properly, taking quite some time to charge, and has started glitching if I move too fast. According to the website, the device lasts between 2-5 years I think, which is fine, but it is not possible to buy just the device itself, which is a disappointment since all of the other parts in the package-deal also are sold separately as spare parts. I am really happy with the product but I don't know if I want to buy the whole package-deal again, which is kind of expensive, since it's just my device that has stopped working.

Length of Use: 2+ years

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

Pros and Cons

Relieves pain

Small, practical to take with you

The device is not available to buy separate

Slow customer service

Posted on Feb 24, 2021

Compact and effective...and cute!

By Laurie E., Baltimore, MD, Verified Reviewer

My Livia is perfect for my lifestyle. I am on my feet all day for work, and my Livia easily tags along with me, works well, and looks cute!

Length of Use: 2+ years

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

Pros and Cons

Helps with cramp pain

Compact size

Cute design

Battery life

Not eco-friendly

Specialized feel pads

Showing 1-11 of 280

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