The Manele Ring is a levonorgestrel intrauterine slow-release birth control system. Levonorgestrel IUDs can be worn when you are approaching menopause, but they need to be removed after menopause. The main purpose of the Levonorgestrel IUD is contraception, so for women who are approaching menopause and still have a need for contraception, they can continue to use the Levonorgestrel IUD, as it is still possible for a woman who is approaching menopause to become pregnant as her ovaries have not completely stopped functioning. Note that it needs to be removed 6 months to 3 years after menopause to prevent the uterus from shrinking after menopause to make it more difficult to remove the IUD, etc. In addition, some women have levonorgestrel intrauterine slow-release birth control system placed because of endometrial pathology, and need to decide when to remove it under the guidance of the doctor. It is recommended that those who need it should go to a regular hospital for examination and be evaluated by a doctor to determine whether or not they need to have a levonorgestrel IUD and when to have it removed.