+1 on the tilt.
Unless you're a giant, your perineum shouldn't be that far forward in the first place. Your sit bones should be solidly planted as far back as they can get without feeling the metal frame of the saddle; all that leather back there is specifically intended to support them.
If the rest of your fit is comfortable, try moving the saddle forward instead of moving your butt backwards.
My B17 is positioned well below my handlebars, so the height issue is not universal; however, if tilting and sliding the saddle doesn't work, that might be the next thing to look at.