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Pain is halved. One thing in particular is monsters like to fuck defeated women, but it's assumed this usually doesn't happen unless you outright suck ass at the game or try to solo a raid dungeon beyond all warnings. It's also assumed players chose to play this game on their own will since it's not the only full-dive game. Due to pain reduction, monster rape is not the most traumatic, and real life shows no signs of injuries.
Masturbation can legitimately substitute for the act in real life without physical evidence, thus VR is attractive to those who don't have much privacy in real life. Orgasms are fully simulated in-game. Just in case, players might use alt avatars. "Don't horny on main."
Arcane's player base has an even gender split, with some of its features popular among women even if they don't admit it.