Pearl weight: carats clarity: Opaque Color: White origin: India content: 1 shape: Round Size: mm treatment: untreated See thebirthstone tables for additional references to this stone. Fresh water pearls are Pearls are also given on the 3rd, 12th and 30th anniversaries. An organic gem, pearls are formed inside mollusks such as oysters and mussels. They are formed when an irritant such as a tiny stone or bit of sand gets inside the mollusk's shell. A lustrous substance, called nacre, is secreted around the object to protect the soft internal surface of the mollusk. As layer upon layer of nacre coats the irritant, a pearl is formed. Light that is reflected from these overlapping layers produces a characteristic iridescent luster