A birth control ring that has been in place for more than twenty years can usually be removed. It is usually easier to remove the IUD before menopause, but it is more difficult to remove the IUD if it is in an abnormal position or if it is embedded. It is more difficult to remove the IUD more than one year after menopause. 1. Easy to take out: women who are not yet menopausal should go to the hospital to have the IUD removed within three to seven days after their menstrual period is cleaned up; the uterine lining is relatively thin at this time, so it is easy to take out the IUD. Within half a year after menopause, you can go to the hospital at any time to remove the IUD, usually the uterus has not atrophied, and it can also be removed. 2. not easy to take out: women of childbearing age, even if the menstrual cycle is normal, if the contraceptive ring displacement, incarceration, free abdominal cavity, etc., need to ultrasound examination to clarify the position of the contraceptive ring, the necessary words need to hysteroscopy, or laparoscopic surgery to remove. If necessary, hospitalization is required to remove the IUD. 3. More than 1 year after menopause: the uterus and cervix have atrophied, it is more difficult to remove the ring. IUD removal surgery must go to the local regular hospital, in the doctor’s clear diagnostic decision to remove the IUD method.