Coital angina is angina that occurs during the minutes or hours following
sexual activity. More than 6 million individuals in the United States experience
angina pectoris.1 Coital angina appears to
represent less than 5% of all anginal attacks. For various reasons, fewer
middle aged or older women engage in sexual activity than age-matched men.2 Accordingly, the prevalence of coital angina is higher
in men than in women. The comparative physical demands of sexual activity
in men and women are unknown. Frequency of coitus diminishes with age in both
women and men,2 especially after the onset
of coronary artery disease, which occurs some 10 years later in women than
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