AUTONOMY: There's meaning in achieving something through your own body and effort. Some men find value in that independent of the measured result.

PROCESS VALUE: The discipline, the body awareness, the consistency practice — these have value beyond the measurement outcome.

FINANCIAL ACCESSIBILITY: Clinical procedures have upfront costs. PE is accessible at any income level.

NO MEDICAL INTERVENTION: Some men have genuine preference for not having procedures done to their body. That's a legitimate value.

THE JOURNEY: For some men the research, the community, the long-term project — this is part of their relationship with their own body and wellbeing.

None of this changes what PE does and doesn't achieve. But the choice can be rational for reasons beyond just comparing measurement outcomes.

— NaturalFirst_Nick