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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.

“And it included terminology, words people weren’t using in their language.

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

“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.

“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?

,’ that is not going to be addressed.”Janna Dorren and Andrew Jacobs, both members of Little People of America, are a young couple that work closely with Naccarato.

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