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"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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To her surprise, everyone was having challenges and all were excited to talk about it. She started with Little People of America, an umbrella organization that provides support to people of short stature, from information on scholarships and medical procedures to artist’s funds and specially designed kitchen appliances.LPA gave her permission to develop a workshop at the conference in 2004 in San Francisco.“Had it been in the Midwest I may have had more difficulty getting approved,” she says. Marylou Naccarato was an agent for the Internal Revenue Service for decades before she became a clinical sexologist.“As a former IRS agent of 23 years,” she quips, “people ask, ‘How did you shift from working in the tax field to sexology?

’ I always reply, ‘Well if you think about it, I haven’t really changed professions.It’s all about whether or not you’re gonna get screwed.’” Standing at 3’10” with a rare type of dwarfism called Kniest, Naccarato has become something of a pioneer in the Little People of America community.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.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.