it seems to be a bit of both lifestyle and genetics. it seems like core muscles, especially the lower back, play a role. it can present as lower back pain, because those muscles will try to compensate for a weak set of pelvic floor muscles. this is just what i saw when i journeyed down the rabbit hole lol. you may see different landmarks so to speak.

i’m kind of new to actually talking to people on lemmy, so i apologize for the weirdness around finding communities. here’s a link if you’re interested: https://lemm.ee/c/longtermtestosterone