I went into detail about the location of the pain I'm getting from my current saddle as well as some other saddles I've tried. I bent my finger with my knuckle pointing down and said -- if this is the ischial tuberosity, this part here is where it hurts.

He checked some things, moved the saddle a few times, I commented on how each move felt, and he wound up lowering it. If that doesn't help, I'll go back for more adjustments, and if needed we'll talk about other saddles to try.

Thanks