Part B — what the research actually shows
Three ways to ease period pain without a pill, ranked by the evidence
Three physical methods exist, and only one comes close to living up to the hype around it. Ranked here by trial strength, not by what's easiest to put in a box.
01 · strongest evidence
Heat
Continuous low-level heat at ~40°C matched ibuprofen 400mg for period pain in the trial that started this whole category, and a follow-up found it beat paracetamol outright, with less cramping. A 2025 meta-analysis backs it up again: heat beats placebo, consistently, not just once. The researchers' own complaint wasn't that it doesn't work — it's that a hot water bottle "may be annoying and may interfere with daily life." That's not a science problem. That's the one we're solving.
Akin et al., Obstetrics & Gynecology, 2001 & 2004 · Frontiers in Medicine, 2025
02 · good, real, specific
High-frequency TENS
Electrical pulses at 80–100Hz crowd out pain signals before they register. The Cochrane review found high-frequency TENS beats placebo with an odds ratio of 7.2. Low-frequency TENS, the cheaper setting a lot of devices quietly default to, did no better than placebo at all.
Proctor et al., Cochrane, 2002 / 2009
03 · a comfort, not a cure
Massage & vibration
It feels good, and a relaxed abdomen is a real thing — most modern belts include it for that reason. But the trial evidence that vibration alone reduces period pain is thin, well short of what exists for heat or TENS. Call it a companion, not a headline.
Reviewed alongside heat & TENS literature