Machismo Plus Men's Sexual Health Guides

By Greg Berryman, founder of Machismo Plus. Last reviewed: 4 August 2026. How we review.

These guides cover the men's sexual health problems that sit underneath the search for a supplement: what causes them, what the research supports, and when a supplement is the wrong answer.

Four topics so far. How alcohol affects erections and testosterone, and whether that reverses. The difference between low libido driven by performance anxiety and low libido driven by hormones. What causes premature ejaculation and which treatments have evidence behind them. And how ED supplements compare with prescription medication on ingredients, onset, and cost.

Where a supplement fits, it is named. Where it does not, that is stated plainly. Several of these conditions are better addressed by a doctor than by anything sold over the counter.

For reviews of individual formulas rather than the conditions behind them, see the sexual wellness supplements blog or the male enhancement supplements page.

Empty wine glass beside a glass of water in morning light, with a wine bottle in the background, representing moderation

Alcohol's Effect on Erections and Testosterone

Understand how alcohol affects erections and testosterone, whether the damage reverses, and how much drinking is too much.

Alcohol's Effect on Erections and Testosterone

Understand how alcohol affects erections and testosterone, whether the damage reverses, and how much drinking is too much.

Journal, pen, and tea by a window, representing a calm approach to anxiety and libido

Male Libido Loss and Performance Anxiety: What Is Going On

Understand the difference between low libido from performance anxiety and libido loss from hormonal or physical causes, and what helps each.

Male Libido Loss and Performance Anxiety: What Is Going On

Understand the difference between low libido from performance anxiety and libido loss from hormonal or physical causes, and what helps each.

Calm bedside scene with lamp, book, and linens, representing a reassuring approach to premature ejaculation

Premature Ejaculation: Causes and What Helps

Understand what causes premature ejaculation, what behavioral techniques and treatments are used, and where supplements fit, if at all.

Premature Ejaculation: Causes and What Helps

Understand what causes premature ejaculation, what behavioral techniques and treatments are used, and where supplements fit, if at all.

Supplement bottle and capsules beside a prescription pill bottle and tablets, comparing ED supplements to prescription medication

ED Supplements vs Prescription Medication: How They Compare

Compare how ED supplements and prescription medications differ in ingredients, onset, cost, and who typically considers each option.

ED Supplements vs Prescription Medication: How They Compare

Compare how ED supplements and prescription medications differ in ingredients, onset, cost, and who typically considers each option.

Where Supplements Fit, and Where They Do Not

Not every problem covered in these guides has a supplement answer. Premature ejaculation responds to behavioural technique and, in some cases, prescription treatment. Performance anxiety is psychological and does not respond to a capsule.

Two areas are different. Erection quality and libido are partly driven by circulation, and testosterone declines with age and heavy alcohol intake. Both are where these formulas are aimed.

For erections and libido, VigRX Plus is the daily capsule with the longest track record. For a faster-acting option taken closer to intimacy, Erectin Gummies is the chewable alternative, with onset typically reported within 30 to 40 minutes.

For testosterone support from 25 onward, Testosil is built on KSM-66 Ashwagandha, though the supporting research there is ingredient-level rather than product-level.

If symptoms came on suddenly, involve pain, or persist despite lifestyle changes, see a doctor before buying anything.

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