Depending on your choices the tags you're not interested can be avoided.
I'm beginning to think this isn't actually the case. Not only the previously mentioned unavoidable doctor-getting-naked incident, but the interaction with "Mom" about her "supervising" intimacy is just weird and also unavoidable. I was just trying to friendzone her like I do all MILFs but this game is indicating its not gonna allow that. I'm used to ignoring the incest aspects to these stories but I must comment on this one... its gotta be the creepiest* way to introduce it to the plot that I've ever seen in all the AVNs I've played. $20 says this is another Oedipal complex game and she isn't avoidable at all.
Besides that though, the MC is written "like an 11 year old who never met a woman" as the previous post said (sorry, too early in the morning to try to write out that username!) and that really detracts from everything.
* I should clarify. The creepy part isn't the incest aspect, I can ignore that as I always do. The creepy part is someone insinuating themselves into your love life under such a ridiculous pretense.