the two things you are asking for don't go together.
If you want the layout it will ONLY have paper coordinates.
If you want real world coordinates it will never know the orientation of your paper (or layout).
The work around would be to get the data in the dataframe exported (using the export to cad function for each data layer you want in the drawing.
(you can add more than one layer into the tool) or compile them into one drawing.
Then use the pdf 2 cad method to get the layout information exported (without the dataframe) [you might call this a sheet template].
Then insert it into Autocad and scale it up then clip the other data to it.
If I were doing it I would use autocad map 3d to create the template, and pull in the data as shape file but unless you have access to autocad map 3d you would have problems making that work.
The other thing about this is that it does not take advantage of the Autocad sheet layout.