The Sideways 69 position can be used by people of all abilities, but especially for those with weak or spastic hips. This is also a position that can be used with a strap-on dildo. This position allows both partners to have their hands free to stimulate areas on themselves or their partner, as well as allowing for easy penile or finger penetration, both vaginally and anally, from behind. The other partner will lie directly behind their partner. One partner will lie on their side on the bed, slightly curved. It is especially helpful for individuals who have back pain, limited mobility, arthritis, or fibromyalgia.2 This position involves little movement and limited pressure on the joints. The spooning position can be used by people of all abilities. This is a position that can be used with a strap-on dildo, and it also provides access for finger penetration. Her partner can now penetrate or enter from behind. Pillows can be used to prop legs and keep them from moving outward or sliding. This allows for her buttocks to be higher in the air than the rest of her body, creating better access to the anal and vaginal regions. She will lie facing down with her head at the edge of the wedge. With the modified doggie style, the woman with a disability will lie on her stomach on the bed placing a wedge under her lower abdomen with the high point of the wedge at the bikini line. Additional pillow placement can assist in different positioning for penetration. In addition, a wedge or pillow can be placed behind the head or neck of the woman with limited mobility, as well as under the lower back to help decrease lower back pain. This position can also be used with a strap-on dildo. This also allows for easy penetration while reducing the risk of pressure on the back, associated back pain, and muscle spasms in the woman with mobility limitations. The partner who is standing will then lift their partner’s legs, so the ankles are resting on the shoulders of the partner. Her partner will stand between the legs of the woman with limited mobility, facing the bed. In the adaptive missionary position, the woman with a disability will lie on her back on the bed with her buttocks as close to the edge of the bed as possible.
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