Idk if I'm qualified to speak on this, but imo I think there's enough going on in the show that I'd still generally recommend it, despite it's problematic parts.

The show's about adolescents dealing with sexuality and growing up, and coping with the kind of societal expectations gender places on you (the aliens want Momo's uterus, the ghost steals Okarun's wiener). In the quiet moments when Momo and Okarun drop their pretenses and just be themselves and are honest with each other, the story really is quite sweet as a romance and it's maybe pointing to a healthier and more equitable vision of gender relations.

• is my take, but also SA is a very difficult topic that I think the show probably didn't handle as well as it ought to have so yeah if you feel really uncomfortable with the tone I think maybe it's safe to drop