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

Genital words—vagina, penis, orgasm, all of these things.”She quit her job at the IRS and has since become something of a sex education mogul.

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She couldn’t find real, helpful information in libraries, bookstores, or online: “I thought, well I am going to have to create content myself.” Naccarato hired an illustrator to draw up a manual with 17 alternative sexual positions that would make sex not only easier, but more pleasurable for Little People.

She called it, “,” a resource manual used in conjunction with her workshops.

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.

Modelled on The Bachelor, the miniseries followed salesman Glen Foster, a 4'5" dwarf, in his search for love within a group of both dwarf women and women of average height.

The show was subjected to considerable negative criticism from media critics and the general public, Similarly, Matt Roloff, then-president of the advocacy group Little People of America, commented on the potential for The Littlest Groom to provide a positive media representation of little people as individuals “just being themselves".

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.

“Had it been in the Midwest I may have had more difficulty getting approved,” she says.