diff --git a/docling/backend/msword_backend.py b/docling/backend/msword_backend.py
index dfcb50c99c..67e33ba087 100644
--- a/docling/backend/msword_backend.py
+++ b/docling/backend/msword_backend.py
@@ -2056,12 +2056,20 @@ def _get_children_recursive(node):
             )
 
             if isinstance(item, Hyperlink):
+                # Hyperlink.text and Hyperlink.runs only read the direct w:r
+                # children, so also read the runs nested in the same wrappers
+                # as above (e.g. a tracked insertion inside the link).
+                runs = [
+                    Run(r_el, paragraph)
+                    for r_el in _get_children_recursive(child)
+                    if r_el.tag == f"{_W_NS_CLARK}r"
+                ]
                 content.append(
                     (
-                        item.text,
+                        "".join(run.text for run in runs),
                         (
-                            self._get_format_from_run(item.runs[0], paragraph)
-                            if item.runs and len(item.runs) > 0
+                            self._get_format_from_run(runs[0], paragraph)
+                            if runs
                             else None
                         ),
                         self._get_hyperlink_target(item),
diff --git a/tests/test_backend_msword.py b/tests/test_backend_msword.py
index 05a4a63d2b..d7fc7ed536 100644
--- a/tests/test_backend_msword.py
+++ b/tests/test_backend_msword.py
@@ -1472,6 +1472,35 @@ def test_malformed_hyperlink_does_not_abort_conversion(tmp_path):
     assert hyperlinks == []
 
 
+@pytest.mark.parametrize("wrapper", ["ins", "smartTag", "customXml", "fldSimple"])
+def test_hyperlink_keeps_runs_nested_in_a_wrapper(tmp_path, wrapper):
+    """Runs inside a hyperlink can sit in the same wrappers as in a paragraph,
+    e.g. a tracked insertion made inside the link text. python-docx's
+    ``Hyperlink.text`` only joins the direct ``w:r`` children, so the nested
+    text used to be dropped.
+    """
+
+    doc = Document()
+    para = doc.add_paragraph("See ")
+    r_id = doc.part.relate_to("https://example.com/", RT.HYPERLINK, is_external=True)
+    hyperlink = etree.SubElement(para._p, qn("w:hyperlink"))
+    hyperlink.set(qn("r:id"), r_id)
+    run = etree.SubElement(hyperlink, qn("w:r"))
+    etree.SubElement(run, qn("w:t")).text = "the "
+    wrapped = etree.SubElement(hyperlink, qn(f"w:{wrapper}"))
+    run = etree.SubElement(wrapped, qn("w:r"))
+    etree.SubElement(run, qn("w:t")).text = "docs"
+
+    result = _convert_built(doc, tmp_path)
+
+    links = [
+        (item.text, str(item.hyperlink))
+        for item, _ in result.iterate_items()
+        if isinstance(item, TextItem) and item.hyperlink is not None
+    ]
+    assert links == [("the docs", "https://example.com/")]
+
+
 def test_trailing_whitespace_run_keeps_paragraph_formatting(tmp_path):
     """A whitespace-only trailing run must not overwrite the paragraph's formatting.