I will let
@Pietro Cozzi Tinin add a physician's perspective if he chooses.
Thank you for the floor.....
I do think most musicians wear their IEM's as monitors on stage. It's daft not to do so.
I also think IEM's can be used in various safe ways.
In my view everyone here knows (or should know) the limitations of their hearing and how/why be careful with it.
I think most of us here do and that's why this discussion gets somewhat confused.
IEM's as monitors on stage are a blessing until you keep keep pushing that volume up and srcew your hearing.
I think Steve Ambrosius mainly points at this wrong use of IEM's and their dangers.
If one uses a sanding machine to brush ones teeth there will at some point be some inconveniences.
My warning about the dangers of IEM's lays in the invisible horrors of putting strange objects into places of the human body where said body can and will be harmed if not properly handled.
Every human ear will treat an IEM with the immediate flagging of abuse and as inflammation.
It would go too far to review all the nasties here but one can imagine the body (ear) will fight back.
It can't always do so and both roads lead to disaster.
The biggest problem we see in medical practice are those of inflammation, deformation, ingestion (yes by bacteria, fungi etc) of the outer ear canal and sometimes the inner ear.
Most IEM's have more bacteria (cultures) on them than a moderate toilet seat.
Most users do not clean them near enough and some do so in manners that too assault the ear.
The list is endless and terrifying.
My advice will always be (if possible) go for head phones and keep those clean too.
IEM's (as monitors) should (in my opinion) only be used by stage professionals or artist for pure cosmetic reasons.
Ask the wife if she ever forgot a tampon in the grotto's of darkness a few days too long.
Lot's of women die every year from those pesky things.
If you want to use IEM's please do so but at your own peril.
I only have an amateur view on the SQ but think head phones are far superior.