I don't think is a Payoneer/Paypal issue as Patreon use the same payments providers and I didn't have any issue there, also Paypal reviews your content very often and Is know that they have more stricts rules over NSFW content than this site and I didn't have an issue there yet, as I don't do any NSFW extreme content as other devs that maybe where affected for the new rules, I simply want an answer on why my content was de-indexed and other games with more extreme content where available here, even I send them a lot of examples of games listed on searches that are more "extreme" (incest/minors/bestiality), but I never got an answer, and I suspect that they restricted my account because they don't want that I tell them how to do they work.
Then my only option was to move to Patreon and continue with my games there, and I was "honoring" the supporters from this site, giving them the same content available on Patreon on the same day, without charging any of them more money in order to get the games updates, but recently I'm thinking on end this because itch.io doesn't seem to care about the developers, just look for his own.