in order to avoid perineum pain and erectile/vanigal problems saddle must be
1. wide enough, most saddles simply are not
2. flat
3. relative stiff that rider dont sink in it
4. cutoff may help
5. noseless saddles last resort if anything else does not help
6. many riders have their saddles set too high. higher the saddle the more pressure on sitbones as your legs dont support your weight that much. and also lower saddle adds wats many cases
top urologist sees cyclists with problems commonly
https://www.youtube.com/watch?v=oAGJmPrAE5Q>>1478438these are decently good but not perfect