In doing some research on what I believe as CPPS causing our “prostate symptoms”, I have discovered that (in my case) Alpha-1 blockers induce a normal flaccid state, reduce and/or eliminate my spider veins, induce normal penile color, return sensitivity, easier to achieve erections, and allow my dorsal vein to relax into a smaller, lighter, more normal position.
There are alpha and beta adrenergic receptors, then there are alpha1 and alpha2 receptors, then there are alpha-2 (A), (B), and © subtypes.
Because of this, there are many different type of alpha blockers aimed at different results. The ones that benefit us are a1 specific. I used Minipress/Prazosin.
This blocks Norepinephrine and Epinephrine from acting on the receptors that cause the smooth muscles in the pelvic floor to constrict.
A word of warning though!
Tirate your dose up slowly.
Day 1-3 - 1mg at bedtime
Day 4-5 - 2mg at bed time
Then slowly tirate up so that eventually you are taking 15-20mg in 3-4 daily doses. The effects only last 4 hours or so.
Do not stand up too fast. Low blood pressure is a side effect if you do not tirate. I almost passed out after my first dose because I stood up to go piss too fast.
I have not used in conjunction with Viagra, but it should be a kick ass combo, just watch for low blood pressure symptoms.
Phentolamine and Doxasoin are alternatives to Prazosin, although I have not experimented with them.
Please do not mention Flomax in this thread. It is not an Alpha-1 blocker.