I don't have any insecurities that I have to get past. I make no judgements on those who activate the content. I just don't fancy sharing my toys. I am selfish, though more than happy to take (temporarily borrow!) another person's toys. I am terribly hypocritical.
My in-game MC is a violent, brutish, arrogant, grapey motherfucker, but he still believes in cherishing his marriage and his lovely wife above all others....
....except when he is out on patrol, or in town, or at a friends house, or just generally whenever he is within a 50 metre radius of an attractive female. Fortunately (or unfortunately), every female in this game is attractive.
I am just happy that the devs give us options. You can tell it is a good game when two players like us, with diametrically opposed opinions on the matter, can equally enjoy the experience.