Does sex count as exercise? especially if it's aggressive?

See below: More for a man than for a woman, but not in lieu of actual aerobic exercise. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco or alcohol in any form. Practice safe sex. Get HPV vaccine.

Burning Calories.: Most definitely, and just as in other forms of exercise, this type of conditioning can increase stamina and performance levels.