A woman can have children at the age of 46, mainly related to her physical condition, menstruation, ovarian function and other factors. Pregnancy begins when a sperm combines with an ovum discharged from the ovary to form a fertilized egg that lodges at the bottom of the uterus, so a normal menstrual cycle and ovarian ovulation are necessary for the formation of an egg. If you are in the transition period of menopause, ovarian function decline, etc., there is no possibility of pregnancy. Generally speaking, pregnancy at the age of ≥35 years is considered to be an advanced pregnancy, so 46 years old is an advanced pregnancy, and the hazards of advanced pregnancy are greater than those of normal pregnant women, such as: the incidence of miscarriage and preterm labor, fetal malformations, and hemorrhage during delivery is higher. If you are still considering pregnancy at the age of 46, you should have a detailed examination of your body and organs, and if you are healthy and have no major diseases in your organs, you can consider pregnancy. If any discomfort occurs during pregnancy, such as vaginal bleeding, abdominal pain, etc., it is recommended to consult a doctor in time and identify the cause of the disease under the doctor’s guidance, so as to avoid causing significant harm.