When a woman is 46 years old and already close to menopause, it is generally not recommended to wear a birth control ring anymore and other contraceptive measures can be taken to prevent unwanted pregnancy. Generally speaking, a 46-year-old woman is already close to menopause, the ovarian function is gradually declining, and sex life is also gradually reduced, so it is not recommended to wear a birth control ring, so as to avoid the phenomenon of endocrine disruption, which causes physical discomfort. At the age of 46, if menstruation is still regular, there is still a possibility of pregnancy. Therefore, although it is not recommended to wear a birth control ring, you should still take contraceptive measures, such as wearing a condom, during sex to prevent unwanted pregnancy. Women should take care to keep their vulva clean and should also change their underwear regularly.