Is it exploitative? Empowering? Toxic? Who knows! Everyone argues about everything.
Twitch is ban happy with anything even remotely controversial. Things that can be suggestive or comments that can be interpreted as offensive will garner a ban. And they hate anything even remotely sex-related.
Honestly, this stuff needs to move P2P. Platforms are indecisive and fickle. Just a month ago, they flip-flopped on their policy in just two days [1]. And it happens time and time again.
I don't blame the ad networks (after all Twitter had all of the world government and news orgs plus sex and nudity). I blame the Twitch leadership.
If you follow Twitch, the entire leadership is embroiled in the kind of drama you'd expect in a middle or high school.
The community is moving to mostly Kick [2] and somewhat to YouTube Gaming.
[1] https://decrypt.co/209998/twitch-walks-back-changes-after-su...