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“[I’ve heard] everything under the sun about how we can better our lives and how we can help each other understand adaptive tips and things, but no one talks about sex.

They will talk about marriage, they will talk about relationships, or parenting, or adopting, or having children—medical aspects, social aspects.”“Take any medical issue, a disability of some sort, or some kind of spinal cord injury–until recently, they [would not talk] to you about sex,” she laments.

That is another [question I asked] when they couldn’t reach their genitals—‘How did you manage your sexuality as an adult?

“She is the first person I know of in the Little People community who has had the courage and the wherewithal to design and implement programs and materials designed specifically for the Little People community around their specific sexual needs.”Naccarato’s doctoral studies showed that among other issues, 20 percent of Little People have trouble reaching their genitals with their own hands without using assistive devices. “Dressing sticks, bottom wipers—there are tools to help in their everyday routine to help manage all of this.“Had it been in the Midwest I may have had more difficulty getting approved,” she says.She conducted a lot of research, including phone and in-person interviews with Little People asking about their sexuality."The narrator was explaining that in this particular male-female intercourse position, if the man was standing and the woman was on her back on the edge of the bed, it would be less pressure on his lower back."“When I saw the program it [piqued] my curiosity,” she says.Married to an average-sized man at the time, Naccarato and her husband adapted their sex lives because she had issues with her hip—like most Little People do—leading to issues with straddling.” Most of us will have hip implants and knee implants for mobility due to bone degeneration,” she explains.

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