Humans have reason to care about conditions like atherosclerosis due to extended lifespans, even if evolution did not prioritize post-reproductive sexual function.

“just because Evolution didn't care about something doesn't mean we shouldn't and the example I would use is atherosclerosis so Evolution had no interest in preventing atherosclerosis if it did it would have got rid of a o hundreds of thousands of years ago because we didn't need it really after I mean we would have got rid of it in the last thousand years I think um and we wouldn't have atherosclerosis today but given that it didn't interfere with our reproductive Fitness it's of no concern to Darwin that said now that we can live longer we have every reason to care about it”