My family have a road background going back to the 70s. Ran a bike shop etc. They have all talked about ED and cycling since I was a kid. Mid 90s I first heard them talking about it. These were 40 year olds at the time. Just seen it crop up every few years in the media and a few papers here and there. They were meticulous with saddle fitment and that seemed to be the best prevention if you ride seated a lot. My dad did have a doctor in the 90s tell him to stop riding his bike as they were convinced it was from being seated for that once a week 100km ride. He stopped riding and never had issues. He stopped cycling entirely and took up spearfishing instead.
I do find that a big ride with a lot of climbing just kills hardness/feeling for a few days (5/10). If I go Jib all day our push up I am not nearly so off and things are totally different (10/10 and good feedback).
Only solution for me. Heavy weights and Freeride.