I don't know where they got v0.3.60 from for the Steam update, because that's the version for the November Patreon update and I didn't see a version in the Steam announce or Steam page when I took a quick look. If it says v0.3.59 in the download, that's probably correct because it's far more recent than the last Steam version.
Just as with most of the updates for the last year, it's still just the one impregnation-themed quest that doesn't really go anywhere. The devs have stated that pregnancy is already fully implemented in the UE5 build and will be included from the start once we finally get access to that one, but timeline is TBD.
You've been able to play as a male for over a year. The dynamic sex system has some M/M scenes in it, but the only scene marked on the map from the older system that involves fucking a male (as opposed to being fucked by one) is way off to the west, with the pair of slaves who are imprisoned in some stocks.
Nope. Devs have stopped providing changelogs for UE4 builds as the work on them is mostly secondary to the work they're putting in to get UE5 out the door.