@albiet I'm about 3 months out age 75. NO complaints. I think the recovery is still a process at this point with ongoing pelvic floor recovery. I had ramped up Kegel exercises which do help but I started to do too many & noticed a short term setback in terms of everything you are describing but it passed fairly quickly. I have returned to cycling and if I load up too much in a week like I have recently I've noticed the same mild setback. Going to try a 3D printed saddle for potentially less stress on the perineum. Sexual activities continue to improve over the past month. Good luck guys. It was worth the price of admission for me for sure and patience is still key for any mild setbacks.