Studies have shown that cutouts make no difference to saddle comfort or blood flow.
The most important variable is seating postion and sitting up too vertical on a saddle. You shouldn't really "sit" on a saddle. People who change saddles frequently don't give them enough time, if it feels good out of the box, it will likely not work for you in the long run. My specialized toupe was painful on my sit bones for about a week and a half, once my ass got used to it, it turned into an all day saddle, despite no padding.
Ride the drops more. Avoid padding.

People who complain about narrow saddles sit up too vertical. Look at what pros use, they can ride narrow saddles 6hrs/day because of proper cycling technique. If you sit up and never use the drops, wider is better and move the seat forward.