This might be the most important thing Andy @MM0FMF has ever done in his life by raising this subject

I had been suffering with some discomfort follow SOTA activations and long hikes, it felt like a pressure on my perineum (yes blokes have those too). Knowing that my BUPA cover will run out at the end of June I took the opportunity to see a specialist.
Diagnostics included measuring flow into a jug (it nearly overflowed!) - apparently I have a large bladder at around 1.2 litres full, finger up the bum (I was impressed how much could be ascertained by such a ‘crude’ diagnostic technique) to check prostate size and firmness, an ultrasound of my bladder and then a comprehensive set of blood tests.
Having ruled out any issues with prostate (I suspect I was getting very sensitive skin following long walks which appeared as a pressure - Bepanthen is a good ointment for that condition) the discussion turned to ED which I’ve suffered from for the past few years, and more recently a reduced ability to ‘squeeze’ when weeing. Sildenafil solves the problem for me, but I was interested if anything in the blood works could be a contributory factor.
Everything came back normal apart from Cholesterol which has been slowly creeping up over the past few years as I’ve put weight back on. I’m trying 2 days in 7 fasting together with calorie controlled intake, and as much as possible 10,000 steps a day. I’ve used this before and it works fine, and my cholesterol level is closely linked to being overweight.
One thing that did come out of the diagnosis is that the blood vessels ‘down there’ are smaller than those in the heart region, but ED and other control issues can be an indicator of future heart disease - 1 in 3 will go on to have issues, so again getting the weight under control should have a positive impact on my heart too. I suffer from visceral (internal) fat so I’m probably in that risk bracket.
Thankfully the answer to my issues is more SOTA (with cream)!