Will a grade 3 turn into a grade 4 if I just leave it ?

hi I’m new on here and would love some advice , a week ago I found a hemmoroid after a bowel movement which I didn’t strain at and have been pushing it back in since but it keeps coming out . ( not just after bowel movements either ) it is not painful just feels weird .I can open my bowels easily and pain free and so far no itching. My diet is great ( I’m vegan ) and I drink loads of water so do not suffer with constipation which is a mystery as too why I’ve ended up with a prolapsed pile I’ve actually named now “peri” ( because my hubby and I was thinking it could be to do with age and the peri menopause as to why it reared it’s ugly little head and we’ve named the unwelcome guest) 

anyway i I am going to the docs tomorrow and I think they will suggest banding or surgery which I’d rather not have tbh . My question is if I just leave this painless , non itchy pile will it get any worse ? 

Also will sex make it worse? 

Sorry for the the questions I will ask doctor too tomorrow . And thanks in advance .

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