Most people rely on their hands to get through the day. This can make it hard for them to understand how people with upper-limb differences—the partial or total absence, or atypical development, of one or both arms or hands—move through their own lives. That confusion sometimes translates into unwanted pity and tactless questions about how people with limb differences manage everyday activities. These questions often quickly turn to sex , because the askers find it hard to imagine how people with upper-limb differences can hold, caress, or stimulate a partner, all acts they see as exceptionally important within physical intimacy. Limb differences vary, whether in their extents, whether they're congenital or acquired later in life, or with respect to the potential ancillary effects of the specific condition that caused it. As such, there is no single experience of sex with an upper-limb difference.
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