Dealing with sex and violence

How do you deal with some of the more controversial aspects of life at the table, such as sex and violence?

While D&D is a fantasy game, a sense of realism is essential. Again, I point to H.G. Wells quote: “If anything is possible, then nothing is interesting.”

The Game is an adult pursuit. I do not shy away from any topic in my campaign. The Game reflects life. While I remain empathetic to player sensibilities, I will not censor the game.