u can play Witcher 3 w/o playing the first 2, while they do reference the previous games there's an in game glossary to give you context for any characters or events in you may have missed if you skipped Witcher 1 and 2
as for the risque content, well u could always turn on the "appear offline" status if you're that embarrassed, personally I stopped caring but it does lead to awkward situations when im in the middle of a Gal*Gun 2 mission and i get msg from one of my friends asking why im playing some big titty anime shooter game