Coital angina, also known as "angina d'amour", is angina subsequent to sexual intercourse. Female ejaculation is physiologically distinct from coital incontinence, with which it is sometimes confused. Also ovulatory problems and poor coital technique may affect the PCT. The lateral coital position provides both sexes flexibility for free sexual expression. In alpaca, follicles ovulate approximately 26 hours after coital stimulation. Post coital bleeding can occur with discharge, itching, or irritation. Another social idea of sexuality is the coital imperative. The woman on top variant is known as the reverse coital alignment technique. The woman may also be on top in a precursor to the lateral coital position. However, coital deaths are significantly rare. Drew thanks Fay for a post coital picture of them he found in his locker.