Withdrawal during palpation is graded as which POP level?

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In assessing pelvic organ prolapse, how far the prolapsed tissue descends relative to the hymen during a vaginal exam is what determines the level. If, while palpating, the prolapsed tissue withdraws and protrudes beyond the hymenal ring but does not fully evaginate outside the vagina, that finding corresponds to the level indicating beyond the hymen but not complete eversion. This is a more advanced level because the tissue has descended past the hymen yet isn’t completely external. If the tissue stayed above the hymen, it would be milder, and if it fully protruded outside, that would be the most severe level.