I love the concept and I had fun, but there are a few suggestions I have.
1. Difficulty balance. The game is REALLY difficult, even on the casual difficulty. I enjoy fun gameplay, but ass-tearingly difficult gameplay isn't what I'm looking for when I'm playing an adult game. A simple yet elegant solution could be to add permanent upgrades. You can earn special points (aside from money) by clearing waves, and in between attempts there can be a booth in the player room to buy permanent (as in, never lost even between runs) upgrades to make things easier. Things like health upgrades, making it easier to escape rape attempts, bonus to the amount of money you get per kill, etc. As of right now the only way to make progress in the game is to learn, and frankly I'm not sure that the average player would be willing (or even able) to sink the necessary time in to learn something that punishingly difficult. Perma upgrades would DRASTICALLY improve playability for me (and I'm sure many others). It would take things from hitting your head over and over against a wall that you can't climb to every attempt being worthwhile due to getting points for perma upgrades.
2. Pregnancy. I'll be up front, I have a pregnancy/impregnation fetish. Making it so every enemy can impregnate the main character would obviously be what I'd prefer, but even limited pregnancies are better than nothing. That being said, the fact that the pregnancies are not accompanied by a swollen belly is a disappointment. Naturally the belly gradually growing bigger as the pregnancy progresses would be ideal, but even one or two stages would be nice (better than nothing). Impregnation fans are always on the prowl for something that actually implements pregnancy as something more than just an ending, and you've got something really nice here.
Overall I really enjoy the concept and the gameplay, I just don't see myself sticking with it with the current level of difficulty. But the fact that I'm posting at all is an indicator that I really, REALLY like this game (I usually just lurk). It's got GREAT potential, hell most of the pieces are already in place, it's just the difficulty (something that NEED to change to enjoy it) and the pregnancy (something I WANT to be improved, maybe need
) that are holding it back (for me). Keep up the good work, I look forward to seeing what you do with this!