First of all, this is obviously geared at girls, much like how most ecchis are geared at boys, so already there is a dichotomy here that should tell you in advance if this show is or isn't for you.
That being said, I am a man, and while Makura no Danshi was not a complete and total failure in the entertainment department, it crashes and burns in the objective department. Literally, there is no OST to speak of besides the OP and ED; It's like the whole world is muted while these guys are talking even if there should be something like an instrument playing. All you are doing for the duration of this anime is hearing boys of varying ages and backgrounds speaking to you directly about nothing important, a lot like how Dora the Explorer does. Personally, I do not feel like being treated like a child and having a bunch of 2D boys trying to break the third wall and act like I want to bang them, not to mention I'm implied to be a girl several times.
I'll admit that I had a decent time pretending I was gay and picking a candidate to be my fake gay husband in the end, because that's what the anime wants you to do. But I couldn't care less to memorize anyone's names since most of them only ever make one appearance, and by and all everyone is largely forgettable anyway. The very average art and animation didn't help anyone either.
The most redeeming quality about this show is its short episode length since it won't waste a ton of time, but even then I recommend all guys stay as far away as possible from this anime, unless you want to have a fun time exploring your sexuality. If I was giving this a score more for entertainment, it'd be 2 or 3/10, but all things considered, I fail to see why I should give this anything besides 1/10.