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They adapted a side-by-side position to cope with her pain.“So when I saw the program on TV I thought, ‘Wow, I wonder what other people are doing in our community because no one is talking about it.’”What followed was a series of phone calls to her close friends asking what they were doing in bed.She couldn’t find real, helpful information in libraries, bookstores, or online: “I thought, well I am going to have to create content myself.” Naccarato hired an illustrator to draw up a manual with 17 alternative sexual positions that would make sex not only easier, but more pleasurable for Little People.She called it, “,” a resource manual used in conjunction with her workshops. Marylou Naccarato was an agent for the Internal Revenue Service for decades before she became a clinical sexologist.

She conducted a lot of research, including phone and in-person interviews with Little People asking about their sexuality.

On average, they are 4 feet tall with a wide range of difficulty in medical conditions.“When I speak regarding Little People,” Naccarato says, “there are Little People who don’t consider themselves disabled because they don’t have any really strong physical limitation—but most Little People do.

There is a variety, a spectrum.” Some have no medical limitations—they are just short. Typical issues that affect sex and sexuality include arms that are too short to reach and touch one’s genitals, hip rotation limitations that prevent the possibility of straddling, and severe spinal stenosis that can often result in paralysis from the waist down.“I have been involved with Little People of America since I was 9 years old and I have attended numerous conferences and workshops,” Naccarato says.

“This is so critical,” Naccarato explains, “because it tells me that Little People do want more satisfaction in their sex life even if they are physically limited, and are receptive to change and education.”According to the Little People of America website, there are roughly 200 types of medical dwarfism.

A Little Person is usually 2’8” to 4’8” in height, but it varies.

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Patti Britton, a mentor to Naccarato and the co-founder of Sex Coach U.

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