TetherSpout wrote:I can see why doctors might be reluctant to prescribe MUSE.
According to the promotional video, MUSE works by dilating the arteries and relaxing the smooth muscle fibers in the penis as it is absorbed through the wall of the urethra into the erectile bodies of the penis. Ostensibly, this causes those bodies to swell, thereby cutting off venous blood flow out of the penis and resulting in an erection. I think that's an oversimplification of how erections occur. Nevertheless, what if the venous blood flow out of the penis isn't completely cut off?
First of all, that certainly wasn't the concern my urologist put forth while discussing this subject. The reason, as I mentioned before, that docs don't seem to prescribe MUSE very often is because it doesn't work as well as other things, like that blue pill.
MUSE, if my memory serves me well, is often a better choice for someone who has heart issues. Now, that's not to say there aren't dozens of side effects from this drug either, but the incidents of problems appear to be far less. The dilation of the blood vessels is predominantly localized to the penis. If you have issues with venous leak, then I'd have to assume you couldn't maintain an erection for long, or would be forced to use a cock ring to keep things hard for awhile.
And what about after you have cum and your erection diminishes? Sooner or later this drug will no longer be confined just to your penis and will be coursing throughout your entire body, presumably dilating arteries and relaxing smooth muscle tissues in areas where those effects may not be doing you any good.
No, I don't believe that is the case. The drug is delivered to the urethra for a good reason, rather than by mouth. I don't doubt for a second that it doesn't course through your body, and can affect your blood pressure, etc. All of these vasodilators do this, but MUSE does potentially offer some advantages over the blue pill:
1) With V-i-a-g-r-a, you need a libido for it to work because without it, the boost in nitric oxide won't trigger an erection. MUSE acts upon the penile tissue and arteries, more or less forcing blood to flow into the penis. As long as you have no issue with keeping blood there, your erection should be fine without having to be turned on.
2) As stated on one site I visited: "The medicine usually takes effect 5 to 10 minutes after being used. The effect lasts about 30 to 60 minutes. However, the duration will vary from person to person.". That's far faster acting than any of the pills. The effects are somewhat shorter to, which could be seen as a good thing.
It is a pretty crappy way to deliver a drug if you ask me.
I would disagree with that statement, as placing a small pill down the urethra is a lot better than injecting a needle in your cock (especially having to do so, time and time again, which causes scarring). Popping an E-D pill is very inconvenient, since you need to plan way ahead, and the risk are as severe or worse than MUSE. The industry has also found a successful way of almost halting the "generic brand" knock-off thing from happening, so prices for all of these things is still way out of proportion to their actual costs. They know desperate men will pay just about anything they ask for the pills. Goddamn crooked Big Pharma assholes.
The only way to do it safely (if that's even possible) is by very cautiously increasing the dosage in small steps on a trial basis (assuming you can afford it at up to $75 a pop) and keeping your fingers crossed that you don't have a bad reaction.
Isn't that what everybody does when they take something for the first time? Thousands of drugs can kill you, or do harm over time. It's no different with MUSE. But, I do think the track record of MUSE is somewhat better than the blue pill.
There is apparently a very real danger of heart failure or fainting. But I suppose, whatever doesn't kill you may make your boner stronger.
You see, that's why people should avoid seeing a doctor about their E-D if all he/she is going to do is prescribe a pill without doing any real investigation as to the root cause for the problem. Taking any of these drugs is a risk, even if you don't die the first time around.
Instead, it's best to do some research into the subject (...and there's just as much misinformation on the web as there is good information). The fact is MOST guys who are in their 40's and up are suffering from impending heart disease, although their blood pressure or other tests don't show a problem. It takes years and years for your arteries to clog up, and the penile tissues are the first ones to show signs of a problem.
Instead of running out and filling in a prescription, why not do your cardiovascular system a favour, and get some sensible exercise, and take high quality supplements like L-arginine and L-citrulline and pycnogenol to open up those arteries and avoid getting sick. Avoid foods that lower your testosterone. Do things that work naturally with the body, instead of some foreign substance that forces your arteries to dilate.