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That is another [question I asked] when they couldn’t reach their genitals—‘How did you manage your sexuality as an adult?’ There was a gap that may occur in that development where some maturity is not had.” Sixty-seven percent of the Little People in Naccarato’s studies who could not reach their genitals felt that sex was very important.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.Although she was working for the IRS, she had always wanted to be a social worker, until one night when she watched a program on sexual health on a cable network.“They were talking about the Kama Sutra," she recalls.“If you go to a doctor and you have a secondary medical condition and you ask, ‘How can I adapt my life so I can maintain sexual health?

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