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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 was a speaker at their conference earlier this month in San Diego where she broke through conservative boundaries to talk the ins and outs of sex, intimacy, and lovemaking with the various limitations that may come with life as a person of short stature.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.“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.They both work at Universal Studios in Los Angeles in the scare maze dressed as Chucky, the killer doll.“It’s a lot of fun,” Jacobs says.“It’s funny to see people’s reactions because you are coming at them from a low point and for some reason it is terrifying,” Dorren laughs.

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.

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.

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.

They adapted a side-by-side position to cope with her pain.

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