Always thought you were a pain in the ass, never realized quite how literally the term fit.
I have worked with patients with this condition many times over the years. It sucks and really curing it is quite difficult, but I would not abandon hope. It may be that a different saddle will help, perhaps a bit wider than what you are using. Exercises may help, PT is essential, meds as a last resort. Good luck, beware the bent, a pot belly inevitably follows.