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Average-height people have historically treated little people like curiosities. Yet, while average-statured people often cast little people who are also sometimes referred to as dwarfs or people of short stature as undesirable, this stigma is often tinged with sensationalized interest in how sex works for them and what sex with them might be like. The most common cause of short stature, a genetic condition called achondroplasia , for example, often leads people to develop average-size torsos, shorter-than-average limbs, and larger-than-average heads, as well as curved spines and back pain, bowed legs, and stiff elbows. Growth hormone deficiencies can cause short stature as well, but people with this condition will have uniformly smaller-than-average body parts. They will also usually hit puberty far later than their peers of average height do and often experience osteoporosis, among other complications. But, in most cases , sex is no more physically complex for little people than it is for people of average stature.


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The Challenges of Having Sex as a Little Person - The Atlantic
Marylou Naccarato was an agent for the Internal Revenue Service for decades before she became a clinical sexologist. She was a speaker at its 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. Married to an average-size 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. They adapted a side-by-side position to cope with her pain.



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