Brief "prosthetic" female nudity during a delivery scene. Viewers briefly see the baby's head crowning through a prosthetic birth canal opening in female actor.

A man and a woman are seen post sex on a couch. She is putting her clothes back on and is shown in a bra. The man next to her is shown with his pants off and a brief view of his pubic hair is seen.

A couple is initiating sex, the man's butt is exposed for a sustained period of time while they attempt (unsuccessfully) to remove the female's pants. As she walks away and he follows, full frontal male nudity is seen from middle distance from under his shirt.

A birth scene is shown that depicts a baby's head crowning through a prosthetic birth canal.

A clear shot of the character's vagina is shown while giving a birth

A woman has an exercise ball thrown at her during an argument, hitting her in the face.

35 uses of "fuck"

A character is a recovering alcoholic. Other characters drink in social settings.

A character is shown snorting crushed-up medicine (split-second).

The two main characters smoke repeatedly

This movie is really depressing as revolves around a failing marriage. The beginning in which a woman loses her baby during birth is intense and detailed. Her mental state slowly deteriorates throughout the film.