Aim of the study: To evaluate the effect of Kegel exercise on improving manifestations of uterine prolapse and its degree among pre-menopausal women.

Research design: Quasi-experimental research design was used.

Setting: The study was conducted at gynecological outpatient clinics at Minia University Hospital for Obstetric & Pediatric and El - Minia General Hospital.

Subjects: A Purposive sample composed of 102 pre-menopausal women was recruited for the current study and divided equally by using simple random sample.

Tools of data collection: Five tools were used as following: 1- A structured interviewing questionnaire, 2- Pelvic organ prolapse – quantification (POPQ) system, 3- Pelvic Organ Prolapse – symptoms score (POP-ss), 4- Modified Oxford Grading System, 5- Follow up evaluation sheet (dairy record).

Results: The current study reveals; that there were statistical significant relation between women compliance of Kegel exercise and uterine prolapse degrees at (P value ≤ 0.029). In addition, there was high statistical significant relation between women compliance of Kegel exercise, uterine prolapse symptoms and muscle strength at (P value ≤ 0.000 and ≤ 0.007).

Conclusion & Recommendations: The findings showed that 3months pelvic muscle exercises improve the manifestations of uterine prolapse and its degree among pre-menopausal women. Applying an educational program about performance of Kegel exercises was recommended.