It sounds like you're managing high blood pressure and dealing with premature ejaculation, which can be influenced by stress and medications. Here’s some information that may help you understand your situation and options.

1. Understanding Your Current Blood Pressure Medications

   • You are taking Patanjali Divya Youvnamrit Vati, an Ayurvedic supplement used for various health benefits including support for sexual health. It contains natural ingredients like Ashwagandha and Safed Musli, which may help with stamina but is not a conventional blood pressure medication.
   • It’s important to confirm with your doctor if you are on any other prescribed blood pressure medicines, as some can affect sexual function.

2. Premature Ejaculation: Causes and Considerations

   • Premature ejaculation can be worsened by stress from a hectic job and possibly by some blood pressure medications. Psychological stress plays a significant role in sexual performance.
   • Understanding these factors can help tailor your treatment approach.

3. Treatment Options for Premature Ejaculation

   • Behavioral techniques such as the start-stop method, squeeze technique, and pelvic floor exercises can improve control.
   • Medications like selective serotonin reuptake inhibitors (SSRIs) or topical anesthetic creams may be prescribed by a urologist or sexual health specialist if behavioral methods are insufficient.
   • Ayurvedic supplements like Patanjali Divya Youvnamrit Vati may support stamina but should be used alongside professional advice.

4. Managing Stress and Lifestyle Modifications

   • Reducing stress through regular exercise, adequate sleep, and relaxation techniques can improve sexual health.
   • Mindfulness or counseling may also help manage job-related stress.

5. Coordination of Care

   • Discuss all your symptoms and current medications with a urologist or your primary care doctor to avoid drug interactions and optimize treatment.
   • Your doctor may adjust blood pressure medications if they contribute to sexual dysfunction.

6. Next Steps

   • I recommend consulting a urologist or sexual health specialist for a personalized evaluation and treatment plan.
   • Open communication with your healthcare providers about sexual health is important for effective management.

If you want, I can explain behavioral techniques or medication options in more detail.To narrow down potential causes, we will need some more information.Please tell me your age and gender.