I'm living in germany and I will never understand why (especially in US) violence in media and guns / weapons in your neighbourhood are more accepted than some nudity and "sexual innuendo" including their representations in games.
I mean... we all are nude under our clothes (it is the most natural thing there is) and sex (with a consenting adult partner or with yourself) is a very healthy and fun activity. An orgasm helps you sleep better, combats stress, lowers risk of prostate cancer, reduces risk of heart attacks, helps staying in shape or loosing weight, improves your skin, strengthens the immune system, relieves headaches (and helps with migraines).
Somehow it is a taboo to talk about or showcase sexuality in any way? But violence and weapons (tools designed to hurt and kill people) are ok?
That is just crazy to me...
Have platform holders like Sony or Steam legally the "right" to limit or prohibit sexual content in media on their platform, resulting in developers have to censor their product? Sadly, yes... especially konsoles are closed systems and the platform holder has the ultimate power to allow or disallow any content he wants. I wish it was otherwise, but it isn't.
Could these platform holders or the game industry instead implement a more effective (and needed) system for youth protection? Also, yes... but currently it is more cost effective (and socially accepted) for them to just censor games and government officials aren't interested either to "defend" or at least "regulate" the rights of developers to include sexual content in their games (while nobody cares about violence in games).
All that doesn't mean, that there aren't some disgusting, sexist and / or degrading "sex games" and (due to the still mainly male audience) an overpresentation of female objectification in sexual content or that everybody has to like (and buy) games with sexual content. But there is also no real social discussion about these topics either, because the easy way is to just censor or prohibit sexual contents in games.
At the moment this mainly affects sexual content in games. In the future it may include other controversial topics (see Youtube and their policies regarding not monetizing "undesirable" for example "political" topics).