Twenty years after menopause, if the removal of the birth control ring does not go well, if there is severe atrophy in the uterus, and if the patient is in pain, it is possible to remove the ring under anesthesia by administering anesthetic. Generally speaking, within one year after menopause, the birth control ring needs to be removed to prevent it from becoming embedded in the uterus, etc. Twenty years after menopause, the birth control ring can be removed under general anesthesia surgery if it is needed due to the condition. At this time, appropriate anesthesia can relieve pain and reduce nerve tension and other conditions. If there is a case of 20 years after menopause, it is recommended that adequate examination be conducted before removing the IUD to prevent the process of removing the IUD from being unsuccessful and causing damage to the body, and it is recommended that timely medical treatment be carried out for appropriate treatment.