The 66-year-old author of the A Song of Ice and Fire novel series on which the hit HBO series is based spoke to Entertainment Weekly about his views on the whole debate, insisting that the dramatic storylines would be "pretty boring" if the world of Westeros was "portrayed as a utopia".
"I'm writing about war, which is what almost all epic fantasy is about, but if you're going to write about war and you just want to include all the cool battles and heroes killing a lot of orcs and things like that and you don't portray [sexual violence], then there's something fundamentally dishonest about that," he said.
"Rape, unfortunately, is still a part of war today. It's not a strong testament to the human race, but I don't think we should pretend it doesn't exist."
Shocking Game of Thrones scenes
Shocking Game of Thrones scenes
1/9 Sansa/Ramsey rape scene
Season 5, episode 6: Fans were outraged as the episode ended with Sansa Stark being brutally raped by her new husband, Ramsey. The camera soon panned to Theon as he watched on, terrified.
2/9 Shireen burns at the stake
Season 5, episode 9:Stannis burns his daughter Shireen at the stake after Red Priestess Melisandre advises him to make a sacrifice to gain more power
3/9 Theon gets his penis chopped off
Season 3, episode 10: While being tortured by Ramsey, Theon Greyjoy goes through all sorts of pain. The most horrible though is when his penis is cut off and then sent to his family.
4/9 George Bush’s head on spike
Season 1, episode 10: According to the directors, they couldn’t get enough prosthetic heads made up for the show and ended up using the spare one’s lying around. One of those just happened to be the fake head of George Bush, which eventually ended up on a spike.
5/9 Joffrey murders two prostitutes
Season 2, episode 4: In one of his most violent moments, Joffrey finds himself with two prostitutes in his room and the most disgusting thing he can think to do with them, uses them as living targets.
6/9 The Red Wedding
Season 3, episode 9: It was the turning point for the entire show. Just as everyone thought it was going the Starks way, they nearly all end up murdered in one of the bloodiest episodes of any TV series ever.
7/9 Rat torture
Season 2, episode 4: Torture is a pretty common occurrence on Game of Thrones, but none were quite a bad as this. In the scene a bucket of rats is put to a man’s chest and then heated up with a flame so they must eat through the man to escape. Terrifying.
8/9 Mountain head explosion
Season 4, episode 8: Just as everything was going Oberyn Martell’s way, it all literally blew up in his face. The warrior ended up looking like a squashed watermelon in one of the most awful scenes in the entire series.
9/9 Theon botched beheading
Season 2, episode 6: Beheadings: In one of the more gruesome beheadings, Theon strikes Ser Rodrick Cassel not just once but four times in the neck, finally taking it all the way off with a kick.
Martin went on to argue that presenting an egalitarian society in Thrones would be inaccurate as it is "not in our history and 21st century America isn't egalitarian either".
He has confirmed numerous times that his books are based on the Middle Ages, when society was both heavily patriarchal and also classist. But Martin also knows that critics will argue that, as Thrones has a fantasy theme, he could easily make it more feminist.
"People will say 'Well, he's not writing history, he's writing fantasy - he put in dragons, he should have made an egalitarian society'," he said.
"Just because you put in dragons doesn't mean you can put in anything you want. I wanted my books to be strongly grounded in history and to show what medieval society was like.
"Most stories depict what I call the 'Disneyland Middle Ages' - there are princes and princesses and knights in shining armor but they didn't want to show what these societies meant and how they functioned."
Martin was recently forced to reaffirm the difference between the TV show and his novels after Sansa Stark's brutal and unexpected rape sparked a flood of emails and social media comments from fans.
Other shocking moments have included Cersei Lannister being raped by her brother Jaime and King Joffrey using two prostitutes as living targets.