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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

4.5 Stars out of 421 Reviews
5 Star:78% 4 Star:11% 3 Star:1% 2 Star:0% 1 Star:9%
90% Recommend This Product
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Posted on Jan 23, 2022

It actually works!

By Gab A., Montreal, Canada, Verified Reviewer

First of all, this product works and helps to keep the period pain manageable in a way where I can do something else and forget about the pain.

I tried it again but for my ovulation pain this time and wow it worded like a charm! Directly after I put on the patches and activate Livia, my pain was gone! And I could even stand for hours without worrying about the pain!

To summarize, I love it!

Length of Use: Less than 3 months

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

Pros and Cons

Actually works

Pleasant sensory

Compact, discreet, easy to put in a purse for your day

Short wires

No indications whatsoever about the remaining life of the battery

The patches can cause sensitivity on the skin

Posted on Jan 23, 2022

It really works!

By Chelsea R., Rhode Island, Verified Reviewer

Livia saved my life! I was a skeptic at first but it truly works! Nothing ever helped me with my horrible cramps, not even medications. I used Livia for 20 minutes and instantly felt relief! It’s amazing! It’s small and compact to wear under clothes and isn’t noticeable, which I love too!

Length of Use: Less than 3 months

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

Pros and Cons

Pain relief

It’s small

No “cons” were specified in this review

Posted on Jan 22, 2022


By Desiree M., Pueblo, CO, Verified Reviewer

I love that my cramps are instantly gone! I also have extra weight around my middle, I didn’t think it would work, but it does!

Length of Use: 3–6 months

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

Pros and Cons

Zero pain


Better mood

No “cons” were specified in this review

Posted on Jan 22, 2022

Discreet and effective

By Soph B., Sydney, Australia, Verified Reviewer

Very discreet and effective for period pain. Lots of strength and sticks well. Nice and comfy case. Easy and fast to charge.

Length of Use: Less than 3 months

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

Pros and Cons

Discreet under clothes

Pain reliever

Quick and easy to use

Subscription plan

No HQ in Australia

Posted on Jan 22, 2022

It truly works

By Dannielle P., Newell, IA, Verified Reviewer

This gave me my life back after suffering with endometriosis since I was a young girl! It has allowed me to pick up my attendance at both work and school.

Length of Use: Less than 3 months

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

Pros and Cons



Long-lasting battery


Posted on Jan 19, 2022

Great for Endo pain!

By Sarah F., New Bedford, MA, Verified Reviewer

It took a while to get to me with all of the pre-holiday shipping issues, but once I received it all was great! It's like an off switch for my endometriosis and related lower back pain!

Length of Use: 3–6 months

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

Pros and Cons

Works well


Monthly subscription covered by FSA

Wish the battery lasted all day

Posted on Jan 18, 2022

Great product

By Astrid T., Sweden, Verified Reviewer

It’s exactly as advertised, it really helps for the most common pains like menstrual, back, labor, and muscle pains. It sits well the entire day.

Length of Use: 3–6 months

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

Pros and Cons


No “cons” were specified in this review

Posted on Jan 18, 2022

Endometriosis pain

By Wynter C., British Columbia, Canada, Verified Reviewer

It has helped with the pain a little bit, when you find the setting that works for you, anyway. The first machine I received didn’t work properly so they promptly sent me a new one.

Length of Use: Less than 3 months

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

Pros and Cons

Convenient clip

Color choices

Slight pain relief

Battery life

Not everything fits in the case

Doesn’t always work

Posted on Jan 16, 2022

Endometriosis made "Livi-ble"

By Marie N., Columbia Falls, MT, Verified Reviewer

Excuse my pun.

I purchased Livia when I first began struggling with the chronic symptoms of endometriosis. Because of these symptoms, I almost always had to choose between heavy painkillers or drowsiness and lack of focus.

When I started using Livia I was finally able to do the little things like drive and retain information in class that I hadn’t been able to do for months.

I absolutely recommend this product. It’s not a cure-all, but with chronic illness nothing is, and this is as good as it gets for drug-free pain management.

Length of Use: 1–2 years

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

Pros and Cons


Reusable with minimal waste (my first pair of gel pads lasted more than six months)

Super cute and empowering

Had some trouble with my subscription

Posted on Jan 15, 2022

Love Livia!

By Jess V., Las Vegas, NV, Verified Reviewer

I was super skeptical at first, it took it almost 2 weeks to ship out, and then I had a problem with the post losing my package, but Livia customer service was super helpful and sent me out another one straight away, and adjusted my subscription date!

I finally got it and at first, I didn't know if it was just distracting me from my pain or actually helping. I have horrible endometriosis and this device has finally brought me relief! After about 30 minutes of use, I turned my device off and continued to have relief. I was still having back pains so I swapped my flower pads to the back and let it get to work!! When I would feel the pain and cramps coming on I would just hook it up.

As the day progressed I noticed needed to use it for a less amount of time! Even more amazing I didn't need it at all the next day, and I am usually in debilitating pain for 2–3 days! I am sold on this baby! I am a believer! Definitely going to get a second device to use simultaneously on my back!

Seriously, if you are thinking of trying this device, especially if you suffer from endometriosis, please do!

Length of Use: Less than 3 months

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

Pros and Cons

It works

It's discreet

It's light

No “cons” were specified in this review

Posted on Jan 15, 2022

Livia is the best device

By Camilla S., France, Verified Reviewer

Livia is the best device to fight against menstrual pain. It's discreet and handsome and helps me on a daily basis. Every girl needs Livia.

Length of Use: 6–12 months

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

Pros and Cons





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