I had perineal problems until I got a brooks, and mine is pointed up just above level.

Bottom line: experiment with tilt as well as front-back adjustment.

I had to play with it quite a bit. I resisted pointing it up because every time I tried it I went too far up. Tilt it up farther than you think you need. If it's uncomfortable, tilt it back down in small increments until it is comfortable. Most likely, you will stop before it gets to the level position.