I agree, all this hand holding, six-phobia, freaking out like we are in the frigging middle ages makes me sick.
People in the Middle ages weren't this conservative (quite the opposite). The level of prudishness we know today developed much later.
six, like gore, is something I don't necessarily oppose having a presence in the game. But, like with gore, I do not think it needs to be included solely for the sake of including it. "It's more realistic" is a very flimsy excuse in my mind, mostly due to the fact that the same "realism" bringing nudity mods for Oblivion and Morrowind are anything BUT realistic. You want realistic nudity? Well true realism would not be the glamor model bodies too often depicted. Going by realism, the people of Skyrim will have lived tough lives in a tough region. And, realistically, they'd look as much. Very few of them would be something to look at, let alone someone with which to engage in nocturnal reproductive activities.
As for six itself, again, I don't mind it, but it shouldn't be a major feature. Going by the realism argument is, again, flimsy in my mind. It's not like every women/man in the region is going to willingly sleep with a random adventurer. And even if you become an almighty hero, and everyone from the sea to Cyrodil is trying to seduce you, (realistically) there should be moral implications alongside that. Sure, some people are just in it for the pleasure. But most people tend to associate the activity with some level of emotional attachment. If they make it so you can nestle down with a special NPC of your choice, then great. You shouldn't be able to act like a rabbit without consequences though. Otherwise the veiled excuse for "realism" is proven to be nothing more than an excuse to include advlt content for
other reasons, as seen in the 20 mil mods that feature disproportionate women wearing completely impractical clothing.
So in other words, if you want to include six under the reasoning of realism, then that's fine. But it should be presented as such, with all the good and bad included. It should not be included, like gore, solely for the sake of personal indulgence. At least not if you want to legitimately use the argument of realism.