Simone Biles withdraws from fifth Olympic final with decision pending on last shot at gold

USA Gymnastics confirm Biles will not compete in floor final, leaving only beam event left

(FILES) In this file photo taken on July 27, 2021 USA's Simone Biles reacts during the artistic gymnastics women's team final during the Tokyo 2020 Olympic Games at the Ariake Gymnastics Centre in Tokyo on July 27, 2021. - Simone Biles withdrew from another Olympic final on August 1, 2021. (Photo by Loic VENANCE / AFP)

USA's Simone Biles gestures during the artistic gymnastics women's team final during the Tokyo 2020 Olympic Games at the Ariake Gymnastics Centre in Tokyo on July 27, 2021. Biles withdrew from another Olympic final on Sunday.

In this file photo taken on July 25, 2021 USA's Simone Biles competes in the floor event of the artistic gymnastic women's qualification during the Tokyo 2020 Olympic Games.

Simone Biles withdrew from another Olympic final on Sunday.

USA's Simone Biles waves after the artistic gymnastics women's all-around final during the Tokyo 2020 Olympic Games at the Ariake Gymnastics Centre in Tokyo.

Simone Biles of the United States watches from the stands.

USA's Simone Biles applauds as she attends the artistic gymnastics women's all-around final during the Tokyo 2020 Olympic Games.

From left: Riley McCusker, Jordan Chiles, Simone Biles, and Mykayla Skinner of Team United States, cheer after Sunisa Lee (not pictured) as she won the gold medal in the Women's All-Around Final on day six of the Tokyo 2020 Olympic Games.

Simone Biles, of the United States, watches the performance of teammate Jade Carey on the uneven bars during the artistic gymnastics women's all-around final.

Jordan Chiles, Simone Biles, and Mykayla Skinner of Team United States, look on during the Women's All-Around Final.

Simone Biles of the United States wearing a protective face mask.

Simone Biles and MyKayla Skinner of Team United States watch the Men's All-Around Final on day five of the Tokyo 2020 Olympic Games.

Simone Biles has withdrawn from Monday's Olympic floor final, USA Gymnastics confirmed, leaving the American with just one more shot at individual gold at the Tokyo Games.

Biles, the four-time Olympic champion widely considered to have elevated the sport to new heights, has said she is struggling with mental health issues and wants to focus on her mental and physical wellbeing.

USAG confirmed Biles' withdrawal on Sunday and said there was no decision on whether the 24-year-old Texan would take part in the beam final.

"Simone has withdrawn from the event final for floor and will make a decision on beam later this week. Either way, we're all behind you, Simone," USAG tweeted.

Biles arrived in Tokyo already regarded as one of the sport's all-time greats and targeting a record haul of six gold medals, including beating the mark of five individual golds at a single Olympics by a woman gymnast.

She dramatically withdrew during her first event, the women's team competition, last Tuesday, after one vault, saying she needed to focus on her mental health.

Biles then skipped her all-around title defence and on Saturday it was announced she was dropping the vault and uneven bars after consulting with medics. She has confessed to struggling to overcome a severe bout of the "twisties", a condition where gymnasts lose the ability to orientate themselves in mid-air.

"It's honestly petrifying trying to do a skill but not having your mind & body in sync," Biles wrote on Instagram on Friday, adding that while usually she only suffered from the condition on floor and vault, they were now hitting her on everything.

"It's never transferred to bars & beam before for me, it strictly likes floor and vault. Go figure, the scariest two.

"But this time it's on literally every event. Which sucks... really bad."

Biles has been remarkably candid about her struggles with mental health during the Games in regular posts on her social media accounts and has received widespread support from fellow athletes and celebrities.