Is it possible to monetize again yet?
Someone please correct me if I am mistaken. But monetization is not the problem, but visibility.
Adult games are not blocked from being bought here. But they are currently not indexed in general.
The recommendation of https://itch.io/t/5149036/reindexing-adult-nsfw-content is to have a free game for visibility.
And even before this mess, a usual approach of many adult devs would be to have a patreon or other ways of accepting money.
Staff does not talk about internal things in general so they would not talk about this either, unless there would be something concrete to tell. So it is still unresolved.