My last three bikes have all had home made seats/saddles. I've got a little bony butt and bicycle seats, any kind I've tried just don't cut it. 3 or 4 inches of high density foam over a frame designed to fit my back side and I can ride for as long as the fuel holds out with no discomfort.
Of course when you reach my age "men's sexual health" isn't all that important anymore. I don't care what Bob Dole says