BACKGROUND Pelvic organ prolapse is a downward descent of pelvic organs and results in protrusion of the vagina and the uterus. It often provides additional symptoms to patient's life already complicated by menopause. There has been a considerable variation in presentation depending on numerous variables like age, ethnicity, education and symptoms. Aim-Present study aims at studying various factors governing symptomatology and treatment choice of women in perimenopausal age group with uterovaginal prolapse in a central Indian population. MATERIALS AND METHODS This was a prospective study in which, all women attending Gynaecology Outpatient Department of Indira Gandhi Government Medical College, Nagpur presenting with pelvic organ prolapse over a period of 3 years from January 2013 to December 2015 were studied. They were studied for differences in sociodemographic factors, treatment choices and followed up for a period of 6 months after surgical/conservative treatment. RESULTS A total of 256 women were studied. According to our study, the risk of prolapse increased with age, increasing parity and increasing body mass index (BMI). Duration of symptoms ranged from 2 months to 15 years with 26.4% suffering for more than 5 years. Younger women were more likely to present earlier, opting more commonly for surgical treatment. CONCLUSION There is a need for increasing awareness as well as primary prevention regarding uterovaginal prolapse in general population and especially in perimenopausal age group. This can be instrumental in early access to health care system.