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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.She is a board certified clinical sexologist, has a doctorate from the Institute for Advanced Study of Human Sexuality, and certification as a sexuality educator from the American Association of Sexuality Educators, Counselors, & Therapists, where she was a speaker last month.She also serves on the board of the American College of Sexologists, was recently featured on Playboy Radio, and is a sex and disability blogger for sex-positive pioneer Betty Dodson’s website.It addressed everything from living with a disability, chronic illness, and injury, to LQBTQ topics, to explicit details of techniques, sexual positions, and even personal hygiene.In addition, it tackled the broad topics of intimacy and sensuality, body image issues, safe sex resources, and even topics like how to kiss, how to have non-intercourse sex, and how to simply embrace or caress another.“I put together a booklet with all kinds of sexuality information that I thought was helpful and it was about intimacy and sexuality and how to cherish yourself and your partner and how to bridge that gap,” she explains.They adapted a side-by-side position to cope with her pain.

Born and raised in Los Angeles to a Sicilian Catholic father and a Moroccan Jewish mother, Naccarato found herself in the sex counseling and education field by accident.

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.