الفهرس 
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Abstract
Background: The primary public health issue for women of reproductive age in Egypt is uterine prolapse. The most frequently reported cause of poor health in women of reproductive age and premenopausal women is uterine prolapse (UP), which affects about 10 percent of women of reproductive age in developing countries. 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 a simple random sample. Tools of data collection: Five tools were used as follows: 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 (a dairy record). Results: The current study reveals; that there was a statistically significant relationship between women’s compliance with Kegel exercise and uterine prolapse degrees at (P-value ≤ 0.029). In addition, there was a high statistically significant relationship between women’s compliance with 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 the performance of Kegel exercises was recommended for premenopausal women.