You know what else matters: context.

Lots of words have different meanings depending on the context. If someone cannot cope because of an association they formed themselves then that is their problem alone. You are responsible for your own thoughts, beliefs and actions.

Yeah, this is utterly absurd. Worrying about racial stereotypes of imaginary races is just plain stupid. Nobody is hurt if orcs are presented as 2-dimensional bad guys. People are not going to mistreat people of other ethnicities because of how imaginary ethnic groups are portrayed.

And since it's a pen and paper RPG, any GM can insert whatever nuance they want! If someone wants to have a scenario where players are protecting gay dark elves from a pogrom, just make one up! D&D is just a framework around which people can make up their own stories. Narrowing the range of what people can imagine by filtering the material through a contemporary moral panic hurts playability without producing any real benefit. Besides, it's more fun if the enemies you face are unambiguously bad. What the hell kind of fun is it to be forced to grapple with the ethical ambiguities of slaughtering hordes of "morally and culturally complex" orcs? And if you do think that's fun, write your own damn scenario!