I Can Only Orgasm Alone Because of Body Image Issues

Dear Dr. Betty,

I am a 20 year old engineering student. For the last two years I have been unable to orgasm when having sex or mutually masturbating with my lover. I can only orgasm alone. This has taken a negative toll on my lover's self-esteem. Lately I have wanted sex less despite having just acquired our own space to play, and he told me that he is now feeling unloved. I think I am turning myself off, before and during sex, with my body image and an unhealthy sexual/romantic upbringing. I just do not know where to start tackling these issues.

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