“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. They adapted a side-by-side position to cope with her pain. “So when I saw the program on TV I thought, ‘Wow, I wonder what other people are doing in our community because no one is talking about it.’”

What followed was a series of phone calls to her close friends asking what they were doing in bed. To her surprise, everyone was having challenges and all were excited to talk about it. This was 10 years ago. 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.

She conducted a lot of research, including phone and in-person interviews with Little People asking about their sexuality. 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, “Heighten Your Sensuality & Intimacy: Innovative Techniques for the LP Body,” a resource manual used in conjunction with her workshops. It addressed everything from living with a disability, chronic illness, and injury, to LQBTQ topics, to explicit details of techniques, sexual positions, and even personal hygiene. In addition, it tackled the broad topics of intimacy and sensuality, body image issues, safe sex resources, and even topics like how to kiss, how to have non-intercourse sex, and how to simply embrace or caress another.

“I put together a booklet with all kinds of sexuality information that I thought was helpful and it was about intimacy and sexuality and how to cherish yourself and your partner and how to bridge that gap,” she explains. “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. She is a board certified clinical sexologist, has a doctorate from the Institute for Advanced Study of Human Sexuality, and certification as a sexuality educator from the American Association of Sexuality Educators, Counselors, & Therapists, where she was a speaker last month. She also serves on the board of the American College of Sexologists, was recently featured on Playboy Radio, and is a sex and disability blogger for sex-positive pioneer Betty Dodson’s website.