Advertiser Disclosure

Tatiana Duus-Lalvani

Ovira vs Livia vs Monthli vs Ova+: What’s the Best Device for Period Pain Relief?

The American Academy of Family Physicians has found that up to 20% of women suffer from period pain – also called ‘dysmenorrhea’ or menstrual cramps – that are severe enough to interfere with daily life. If that sounds about right, you’re probably all too familiar with menstrual cramp relief and the myriad of suggested remedies such as Midol or caffeine pills, light exercise, heating pads, plenty of rest – to keep the discomfort at bay.


But what if you don’t have the option of staying in bed all day when the cramps hit? Alternatively, what if you’d love nothing more than to go out and celebrate a friend’s birthday, but the idea of leaving your couch and wearing anything but sweatpants is completely unfathomable? All too often painkillers don’t cut it and you either have to power through your day grimacing or cancel plans because of discomfort during your period. It’s also not a great idea to take ibuprofen and other pain killers too often, because extended frequent use can cause ulcers and bleeding.


Wouldn’t it be great if there was a way to alleviate the debilitating pain of menstrual cramps in your lower back or abdomen before it has the chance to ruin your day? Luckily new devices from startups Livia, Monthli, Ova+ by TensCare, and Ovira are helping women everywhere find relief! If you’re in a hurry, jump ahead to our  comparison table.



How do these revolutionary devices work to relieve menstrual pain?


While each of these products is fairly similar, they have important nuances to understand, so we’ll cover the important details in this article. First, what is TENS technology vs Livia’s SmartWave technology, and how do they both work? We’ll also dive into the differences between the devices, the cost, features, customer reviews, and the company missions. Let’s get started.


As we reviewed earlier, Monthli, Ova+, and Ovira work through the use of TENS technology making them devices that provide instantaneous period pain relief to many women. While similar, Livia is not a device that uses TENS technology. Instead, Livia uses a patent approved technology called SmartWave. Livia’s SmartWave™ Pain Blocking technology uses gentle micro-pulses to keep the central nervous “occupied” and hence unable to receive menstrual pain signals. Also, these micro-pulses activate the body’s natural pain control response by releasing beta-endorphins to further suppress pain. So while this treatment is similar to TENS, it is the only one of four to utilize innovative technology.



Are period pain relief devices safe? What are the side effects?


Let’s talk safety: Out of the four devices, only Livia is FDA and CE (Certified Europe) approved for menstrual pain relief. In three clinical trials/reviews, Livia has been proven to deliver safe and effective relief of pain caused by menstruation. 


While TENS treatment, in general, has been widely used for a while now and there’s a body of scientific evidence supporting claims of efficacy, it is not FDA approved specifically for menstrual pain relief, but rather only for pain relief in general. That said, neither users of Livia nor any TENS device for that matter need to worry about an overdose or build-up to tolerance. The first electro-pulse is as safe and effective as the last.


When it comes to treating period pains specifically, TENS has little to no side effects and offers a promising alternative to popping Midol every six hours, which can lead to everything from drowsiness to stomach irritation to liver problems. 


Another great thing about these pain-blocking therapies is that now it’s relatively easy to self-administer thanks to discreet, wearable, rechargeable devices like Livia, Ova+, Monthli, and Ovira. 


That’s awesome news for any woman that’s eager to reclaim her freedom during that time of the month — but which period pain relief device is best?



How to wear Livia, Ovira, Ova+ and Monthli devices to relieve menstrual cramps


Livia Promoted Post

Does Livia work? Read our full review of the so-called “off switch for menstrual pain.”


The first wearable TENS device was patented in 1974 by  Clyde Norman Shealy, MD, Ph.D., an American neurosurgeon and pioneer in pain medicine. Dr. Shealy’s invention ultimately paved the way for modern TENS devices such as the four discussed in this article. Specifically designed to be worn discreetly underneath your clothing, these life-savers allow you to instantaneously target and eliminate abdomen and lower back pain even while you’re on the go.


When it comes to Livia, Ovira, and Ova+, simply clip the device to your waistband and attach the electrode pads to your lower back or abdomen. For Monthli, you can stick the device directly to your lower abdomen with the use of included gel pads that you can use over and over again (once applied, each pair lasts for up to 50 uses!). Whichever device you choose, turn it on, and Voila! You should begin to feel small pulses and the ensuing relief within a matter of minutes. 


It is important to note, however, that the devices should only be applied as directed to the lower back and abdomen areas; placing the electrode pads on your neck, chest, thorax, or anywhere on the face could be dangerous. Also, as is the case with the vast majority of electronic devices, keep all devices away from water.


How does Livia work?


Source: Livia – The science behind Livia, a drug-free Class II medical device developed by iPulse Medical.



How does Ovira work?

Source: Ovira



How does Ova+ work?


Source: Ova+ by Tenscare



How does Monthli work?


Source: Monthli



Real customer reviews


Ovira Reviews: What are customers saying online?

Ovira received 584 5-star reviews out of 680 total reviews. Not bad! Many women reflected on how Ovira finally provided the pain relief they had been searching for in other treatments and methods and that they would highly recommend Ovira to others dealing with monthly period pain. Overall the reviews of Ovira are quite positive.


On TrustPilot Corenia M., who has endometriosis and Adenomyosis (conditions that make menstrual pain particularly excruciating), writes that after trying countless other therapies to manage her flare-ups, Ovira has by far been the most effective treatment and is now part of her regular self-care.


Another feature lauded by several users was the impressive battery life. The long-lasting charge makes it possible to reap the benefits of TENS throughout the entire day.


I did come across a reoccurring critique of the electrode pads (dubbed “Love Handles”), that they eventually lose their stickiness. To help keep the Love Handles sticky for as long as possible, Ovira recommends wiping them with a damp cloth once a week. Unless you regularly use Ovira during exercise, you should be able to re-use the electrode pads as often as needed for up to a month.



Livia Reviews: what are customers saying online?



Livia has racked up an impressive 5,300+ testimonials on their review page, with a 4.5-star rating on average. The Livia Facebook page also has 5 out of 5 stars based on the opinion of 247 people. To be honest, I can’t remember ever seeing a product with that many glowing reviews! Here is some of their feedback:


Ana P. is relieved that she no longer has to take a ton of pain killers after discovering Livia and is grateful for a treatment that comes with no side effects. Maria is a long-time Livia user and has now been period-pain-free for 3 years. Love that journey for you, Maria! (Schitt’s Creek fans, rejoice).


Livia also features on its website an endorsement by Professor Bari Kaplan. Professor Kaplan is a renowned women’s medicine expert and the Director of the maternity ward at the Mayanei Hayeshua Medical Center. He “strongly recommends the use of the device to treat PMS at any time”.


Based on the overwhelmingly positive accolades from the users of both devices, it’s safe to say these pain relief methods are effective and user friendly for many women and can be safely recommended even for those suffering from severe period pain.



Livia - No More Pain. Period.



Ova+ Reviews: what are customers saying online?

While the TensCare website that features Ova+ doesn’t have the typical 5-star rating system, they do have a few reviews when it comes to the wearable period pain device. 


One satisfied customer, Vickie H, says she is, “Very impressed!! For such a small device it packs a lot of punch… I normally pop a pill to ease my pain but after using this for the first time the relief I experienced is nothing compared to a painkiller. It’s just amazing and worth every dollar. Thank you Ova you’re my new bestie”.


The TensCare website also provides an extensive manual that can answer almost any question you might have about using Ova+. This could be helpful if you happen to be experiencing any issues with the device. It also offers pain relief settings ranging from 1-4. These preset clinically tested programs are displayed on the screen, with each program designed to manage pain differently. Ova+ recommends trying all four programs to find which is best for your body and to change from one program to another regularly to prevent your body from unduly accommodating to any particular program.



Monthli Reviews: what are customers saying online?



Monthli, along with Ovira and Livia has a most standard review and rating system. Of the 160 total reviews on the site, 151 give Monthli 5-stars. 


Shirley B. tried out the  Monthli Device + Gel Pad Bundle, and raves about Monthli being “hands down the best natural remedy one can ask to ease the most horrific period cramps. I used to spend the first 3 days of my cycle dying in bed and not be able to move, nothing helped, even those extra strength Advil never worked, they would just dull the pain slowly. With Monthli, I can actually get out of bed and do things again when I’m on my period. The pulses work pretty much as soon as I apply the device to block the pain. Honestly cannot live without my Monthli now, I’m so happy I found this drug-free solution!!”


Another satisfied reviewer, Margaux C lists her favorite features which include: “1. No cords, which means I can reach over easily and adjust the device intensity with only one hand. 2. The heating option + different types of pulses, I love to change it up and try different pulses on different areas of the body. 3. The battery lasts forever so I don’t have to worry about running out of relief in the middle of the day!”


While there aren’t quite as many reviews as Livia’s whopping 5,300+  testimonials, Monthli holds its own when it comes to great feedback of their wearable TENS device. Lastly, Monthli claims to be the world’s first wireless period pain relief wearable device to implement rapid heating technology, which the other products do not currently implement.



Livia vs Ovira vs Monthli vs Ova+: Which is best for you?


The following chart makes it easy to do a comparison of what each device has to offer.

Period Pain Relief Device Comparison

One-Time Price$199$40$119$119
Monthly Subscription?$8 per month
Free Shipping?Free shipping worldwideFree shipping worldwideFree shipping in the US
Refund Policy120-day money back guarantee, plus 2-year warrantyNo refunds60-day money-back guarantee, 1 year warranty100-day money back guarantee
Gel Pads3-month supply2 Self Adhesive Electrodes6-month supply1-month supply
Refill Cost6-month supply for $29 (included in subscription)2-pack for $226-month supply for $523-month supply for $35
Additional Accessories (other than gel pads)Carrying case, skins in different colorsBelt clip, User guide, Storage pouchStorage disk (for gel pads)Storage disk (for gel pads) and pouch
Colors12 colors to choose fromWhiteWhite and PinkWhite



Let’s unpack the comparisons: If we were to consider what it would cost to use each device for a year the expenses would be more or less the same. Even though Ovira’s refills are more than twice as expensive as Livia’s, assuming you use the gel pads for the recommended amount of time (both devices suggest replacing the gel pads every month), the year-end totals come out to $259 (Ovira) and $257 (Livia). Monthli also offers a 6-month refill supply but a $52 price. Ova+ only offers refills in a 2-pack for $22.  


Livia does offer a longer risk-free trial period and a 2-year warranty, something that might be appealing to someone who is trying the wearable device treatment for the first time. Another perhaps less substantial difference between the devices is the color selection. Livia offers the most color choices by far, including a variety of colors (everything from red to lavender), whereas Ovira and Ova+ only come in white. In comparison, Monthli comes in two colors: White and Pink.



What is the biggest difference between the four devices?


As I touched upon earlier, you can purchase Livia on a subscription basis. Here is where all the savings can add up.


There is a one-time sign-up fee for the subscription that will cost you $34 and covers the complete Livia Kit. The package includes the device, your choice of 4 colorful classic covers, a USB charging cable, a protective travel case, a set of Livia flower pads, and a 3-month supply of Livia gel pads. The first month of your subscription is free, and each month after that is only $8. This means the first year of a Livia subscription will run you 117 doll hairs, and $96 every year after that. When you subscribe you commit to a minimum of 4 months but feel free to cancel after that with no penalty if you’re not impressed with the results.


Should you find yourself a satisfied customer, the subscription includes a slew of great perks, such as a lifetime warranty that covers the Livia device and accessories, a lifetime supply of gel pad refills, free shipping worldwide, and a replacement device every 3 years.


The only other notable difference would be the added element of heat in the Monthli device.




The Verdict: Livia vs Ovira vs Monthli vs Ova+ — Which should you choose for period pain relief?


Our top choice is Livia. The extra benefits and savings with the monthly subscription are two very legitimate reasons to consider their unique, patent-approved technology, especially if you plan to be a long-time customer. There are also literally thousands of other great reasons in the form of 5-star reviews that make it obvious that iPulse Medical has successfully developed a real solution to debilitating period pain, changing the lives of women all over the world for the better. We believe that the better technology and overwhelmingly positive reviews make Livia the best period pain relief device on the market.



Livia - No More Pain. Period.



Ovira is also a great option for a few reasons including their flexible buying options, copious good reviews, and leadership team. From their all women-led team to their marketing, to their consideration of curvy gals (if you need a Y-cable in a different length, just send a quick note to Ovira at [email protected]), you can tell their mission is genuine and inclusive. Motivated by personal experience with chronic period pain, Alice Williams took matters back into her own hands and made it possible for other women to do the same.


In 3rd place, Monthli wins points for offering a wireless option that also includes a heating element. However, their lack of flexibility on buying options puts them slightly behind Livia and Ovira. 

Finally, while Ova+ is a product sold by TensCare and is the least expensive option, it is hard to find much online about how the product works, if it’s the right fit for your needs, or how to make a purchase. If you do invest in an Ova+ you will most likely have to buy from a third-party site, which doesn’t bode well for the ability to return, exchange, or review the product. Although the cheaper option, the customer reviews indicate that when it comes to Ova+, you may get what you pay for quality-wise.


Overall, there are some great choices here when it comes to battling period pain. Let us know which you end up going with and how they work out for you below!

Have you tried Livia, Ovira, Monthli or Ova+?

If you’ve tried or are a current customer of Livia, Ovira, Monthli, or Ova+, we’d love to hear your opinion. Click below to leave your own review and let other readers know as well.

Submit your review

Create your own review

Reviews of Livia, Ovira, Monthli, and Ova+:
Average rating:  
 113 reviews
Jan 27, 2022
 by Anonymous
Livia really helped me

I'm so happy with my Livia, no more pills or laying in bed all day. It's amazing!

Jan 27, 2022
 by Anonymous
I love my Livia so much, it has truly changed my life! One of the best things I've ever bought for myself, I will recommend to everyone I know

I love my Livia so much, it has truly changed my life! One of the best things I've ever bought for myself, I will recommend to everyone I know. It's so discreet and quiet, I take it everywhere with me. 10/10 for sure

Jan 27, 2022
 by Anonymous
Livia really helped me

I'm so happy with my Livia, no more pills or laying on bed, it's amazing

Jan 27, 2022
 by Anonymous
Love it

My daughter has suffered from horrible cramps since she started her period. We  tried everything. Then I saw an ad for Livia and figured, why not. She loves it and even takes it to school to wear under her clothes.

Jan 20, 2022
 by Anonymous

I love this product. Livia has helped me so much!!

Jan 20, 2022
 by Anonymous
Livia is the best device

Livia is the best device for all girls. It helps relieve my pain and I highly recommend it!

Jan 20, 2022
 by Anonymous
It actually works !

First of all, this product works and helps to keep my period pain manageable in a way where I can perform daily activities and forget about the pain. Now the pros and cons of Livia:



short wires
no indication whatsoever about the remaining life of the battery
the patch can cause sensitivity on the skin.


compact (it’s really easy to put in the purse for the rest of your day)
pleasant sensation
it actually works. You can stop worrying about if the pain is gonna make you come home early, and it’s a life saver! It also works on ovulation pain.

To summarize, I absolutely love my Livia!

Jan 20, 2022
 by Anonymous
Game changer

This product is a game changer! I’ve always struggled with bad cramps my whole life. Nothing helped it until now! After only 20 min I feel relief, and it works every time.

Jan 20, 2022
 by Anonymous
game changer

My Livia has completely changed my life. My cramps are horrible but with Livia I can continue doing my life as normal and keep up with my busy schedule!

Jan 20, 2022
 by Anonymous
Game changer

This device changed my life!! I’ve always struggled with bad cramps and nothing ever helped until this. Within just 20 min of using I was pain free. It definitely works, and I love my Livia!

Page 1 of 12:

Discover the latest

D2C wellness products

And get exclusive discounts!

More innovative women's health products

Share this post

Share on facebook
Share on twitter
Share on linkedin
Share on email

Discover the latest
D2C wellness products

And get exclusive discounts!