Exactly. Because the disfunction of our parts isn't a visible thing it's easy to assume that disfunction doesn't exist. I'm starting to conclude that I simply cannot ride in as aggressive a position as the rest of me would like. I end up rolled too far forward onto sensitive tissues. Some saddles are better than others, but they all cause noticeable discomfort, primarily in the form of bad chafing. I don't have this issue with my cyclocross bike, which is a bit less aggressive than my road bike. It stinks, because the rest of me is perfectly happy riding in a relatively aero position (no neck, back, shoulder, hand pain), but the labial/clitoral irritation is becoming a total deal breaker.

I'd try a noseless saddle, but I know that I use my thighs a lot to stabilize and steer my bike.