Background: The symptoms of uterine prolapse can be extremely debilitating & have an appreciable impact on quality of life (Streicher. L , 2013). Pelvic floor exercises can improve the symptoms in mild and moderate cases and sometimes prevent the pelvic organs from slipping down further (Hassan & Mahmoud, 2017). Aim of the study:  To evaluate the effect of Kegel exercise on improving manifestations of uterine prolapse among pre-menopausal women. Research design: Quasi-experimental design was adopted to conduct this study. 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 into study &control groups. Tools of data collection: Three tools were used as following: 1- A structured interviewing questionnaire, 2- Pelvic Organ Prolapse – symptoms score (POP-ss), 3- Follow up evaluation sheet (diary record). Results: The current study reveals; that there were a strong negative correlation between uterine prolapse symptoms and women compliance to performance of Kegel exercise after 6 weeks and 3 months of the intervention with statistical significant differences at (P value ≤ 0.046 and P value ≤ 0.003). Conclusion & Recommendations: Implementation of Kegel exercises had a highly significance effectiveness' in improving manifestations of uterine prolapse among pre-menopasual women. In addition applying an educational program about Kegel exercises for women was recommended.