Hard? Their terms state they do not accept adult keywords ...
Adult/Sexual Content
-MSN adCenter will not accept advertising on adult keywords.
-Advertisements and associated landing pages may not contain sexually explicit content.
-Advertising will not be accepted for sites that feature predominantly adult content.
-Adult content, if any, within otherwise non-adult sites, must be clearly segregated from other content.
I have gotten a few semi-adult keywords to work. Also, it seems as long as your landing page doesn't have nudity or porfanity they accept it. It's still in beta so you really just have to play around with it.
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