Some sexual innuendo, main character is obsessed with women. P*ssy is used once.
Glimpse of a toddler's genitals as he is picked up from the bath, nothing sexual and very brief.
Though r rated it stems primarily from the language, all sex is offscreen and most is implied/discussed through dialogue(not graphic or detailed but overt)
Implied sex between male lead and an unseen/unheard female occurs offscreen. Discussion of a menage a trois during a Thanksgiving dinner scene.