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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

4.6 Stars out of 503 Reviews
5 Star:79% 4 Star:11% 3 Star:0% 2 Star:0% 1 Star:7%
92% Recommend This Product
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Posted on Jul 3, 2022

Small size, big pain relief!

By Britney K., Lake City, SC, Verified Reviewer

I use Livia typically the first two days to help relax my muscles without medication. The design is sleek but powerful. Long-lasting battery life. I’ve had Livia for 3 months or so and only charged it out of the box. I would definitely recommend to anyone over and over again!

Length of Use: 3–6 months

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

Pros and Cons

Sleek design

Pain relief

Changeable skins

Maybe a longer cord, not too long

Posted on Jul 1, 2022

Life changer

By Fawn M., White Deer, PA, Verified Reviewer

My daughter and I both use Livia, it's completely changed menstrual pains for us! We no longer have to rely on pain medicine to fight the pain. Livia has definitely been a lifesaver! Highly recommend. Stop thinking about it, and get it!

Length of Use: 6–12 months

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

Pros and Cons

It's compact

Works really quick

No “cons” were specified in this review

Posted on Jun 28, 2022

Love this product!

By Charlotte W. , Hamilton, AL

I love Livia. Livia has made my life 100x easier on my period. The pain almost ceases to exist. I am in love with Livia. So if you haven’t tried it you should!

Length of Use: 3–6 months

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

Pros and Cons

You can control the intensity of vibrations

It’s provides immediate relief

You have the ability to change and customize it as you’d like

No “cons” were specified in this review

Posted on Jun 27, 2022


By Cassandra M., La Moille, IL, Verified Reviewer

It took some time to get to me but it worked and the level of intensity was amazing! Definitely will refer it to a friend! Thank you Livia for helping my pain!

Length of Use: Less than 3 months

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

Pros and Cons

Different level of intensity


Not noticeable

I got used to the intensity

I’m started getting irritated in the spot it was on

Posted on Jun 21, 2022

Works on the worst cramp days

By Dorene R., Palmdale, CA, Verified Reviewer

My Livia device really does work. I've used it on my worst days and with this on I didn't even feel any cramping. It's amazing and I wish I had discovered it sooner.

Length of Use: Less than 3 months

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

Pros and Cons


Cute skin colors

Actually works

Clip doesn't always stay clipped onto clothing

Easily turns off when leaning on a counter doing dishes


Posted on Jun 17, 2022

Best gift!

By Jennifer B., Lawrence, KS, Verified Reviewer

I bought this for my daughter and she loves it. This is the only thing that works for her cramps. She can wear it to school and no one even knows it is on. I was very skeptical when I first saw this, but it is great! It does exactly what it says. She uses it several times a month and she says it is the only thing that works for her cramps.

Length of Use: 3–6 months

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

Pros and Cons


No one knows you're wearing it

Never missing school again with cramps

Wish there was 4 leads — 2 for the front and 2 for the back

Posted on Jun 16, 2022

Amazing product!

By Karen H., Morgantown, WV, Verified Reviewer

Very satisfied with this product. Customer service is always helpful but shipping is slow. The main concern is that the refills with the subscription haven't been coming on their own without having contacted them.

Length of Use: 6–12 months

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

Pros and Cons

Does what it supposed to

Helpful customer service

Slow shipping

Customer account website

Posted on Jun 16, 2022

My Livia experience

By Tabitha V., Murfreesboro, TN, Verified Reviewer

I love my Livia! The first time I got to use it was honestly life-changing. Over-the-counter pain medication never really worked for me and I was always stuck on a heating pad, I was miserable. I bought Livia, with fingers crossed it would help, and once it arrived it did! Not only did it help with my period pain, but it is also a game-changer on back pain!

Length of Use: 3–6 months

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

Pros and Cons



Shipping times

Posted on Jun 11, 2022

Love it

By Valerie L., Nevada, Verified Reviewer

Livia is reliable and actually works. Leaves me pain-free on my period, which helps me focus on my day-to-day routine. I wish we could design the outside of the item instead of having a case or be able to design your own case. Like the Cash App card. You're able to decorate it yourself. I'm surprised how well this item works. I think it was a creative idea. Even though my item was delayed a while it was worth the wait for sure.

Length of Use: Less than 3 months

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

Pros and Cons

It works

It's little

The cases are cute

Not enough pads given each month

The pads do get uncomfortable sitting on my skin for a while

Wish they had the item itself could be decorated

Posted on Jun 11, 2022

This thing is awesome

By Brandi S., Geneva, AL, Verified Reviewer

I have severe cramps and this thing is amazing. I use it at night to help me sleep and during the day so I can work without being groggy from meds. It is amazing.

Length of Use: Less than 3 months

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

Pros and Cons

Compact size

The power it has

The variability

How long it takes to ship

Posted on Jun 11, 2022

Great product, highly recommend

By Kori S., Neptune, NJ, Verified Reviewer

Livia saved my life. No more painkillers or crying in pain. Livia shuts off my cramps within 5 to 15 minutes. It's lightweight and portable, you can clip it onto your pants and be good for the entire day!

Length of Use: Less than 3 months

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

Pros and Cons

The different intensity levels

Portable and lightweight

Shuts off cramps within 5–15 minutes

Gel pads

Showing 1-11 of 503

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