If you have an IUD, please note that there is a very small chance that the IUD my dislodge due to the strong nature of the pearls. With that said, if you would like to use our detox pearls with an IUD intact it would be at your own risk. We also recommend only using one pearl per detox if you decide to use the pearls with an IUD. Many customers have used the pearls with an IUD and had no issues but we have to provide you with that warning regardless