You never forget your first Kamagra Gold patient. Not because it’s some dramatic, life-or-death case. No. Because it starts weird — like most things involving male egos, erectile dysfunction, and mysterious pills ordered online.

This guy — let’s call him Mike — walks in like he’s buying time. Doesn’t sit. Doesn’t make eye contact. Classic: forty-something, still in decent shape, wedding ring on, anxious energy like he just remembered he left something on the stove.

I ask what brings him in. He clears his throat and says, “It’s probably nothing.” Which, in urology, almost always means “It’s definitely something.”

Turns out, he ordered Kamagra Gold off a website that looked sort of legit — gold lettering, confident slogans, pictures of grapes for some reason. He said it was cheaper than Viagra, didn’t need a prescription, and came with free shipping. Of course he tried it.

“It worked,” he tells me. “Like, really worked.” Then the pause. “But it also... gave me this weird pulsing in my ears. And I kind of... saw blue?”

I nod. Classic sildenafil. Especially with no dosage control. Sometimes these pills are 80 mg, sometimes 140, even if they say 100. Lab testing? Not likely. Quality control? Definitely not the gold part of Kamagra Gold.

We start talking side effects. I ask him why he didn’t just come in sooner and get a legit prescription. He shrugs. Says he didn’t want it “on record.” Didn’t want his insurance to know. Didn’t want to feel like the guy who “needs help.”

That’s the thing that gets me every time. Men would rather self-medicate with sketchy imported jelly or mystery tablets from Bangkok than talk to someone with a stethoscope. I’ve seen it a hundred times.

I told him the truth: Kamagra Gold isn’t garbage — it’s real sildenafil, usually. But it’s unregulated. Unpredictable. Sometimes underdosed, sometimes overdosed, sometimes spiked with other stuff to “enhance effect.” That part they don’t print on the shiny packet.

I asked him what he really wanted. He said, “I just don’t want to feel broken.”

That stopped me for a second. Because that’s what’s under all the questions about side effects and packaging and customs clearance. These guys don’t come in for pills. They come in for permission — to not feel ashamed.

We talked for a while. About options. About safer versions. About how to test for underlying issues instead of just chasing symptoms. He left with a plan. A real one. No gold foil, no blue vision, no mystery.

Two weeks later, I get a follow-up email. He said things were better. He said his wife noticed the difference, not just in bed but in the way he carried himself. Said he was done with the back-alley pharmacy life.

I saved that message.

Kamagra Gold isn’t the villain in this story. The villain is silence. The silence that keeps smart guys doing dumb things because they don’t feel allowed to ask for help.

So here’s the part where I say something I wish more men heard sooner: if something isn’t working — in your body, your head, your relationship — don’t Google it in the dark and hope for the best. Come talk to someone. Worst-case scenario, you get a boring conversation and some lab work. Best case? You get your confidence back.

And maybe — just maybe — you stop seeing blue.

Told by Dr. Walter Moore, Urologist – New York City