A lot going on. My first comment though is that it sounds like you aren't really comfortable / happy with him (be honest). He is your first love and that may give you an unrealistic impression of how well you get on together. It is possible to have a relationship where you are comfortable and happy most of the time (never always), but this doesn't sound like it.
A few worrisome things:
He seems to be somewhat isolating you from his and your friends. This can be just his shyness and personality, but it is also a tendency in people who become controlling and abusive.
He doesn't want to talk about himself, what he is doing, where he goes. You don't need to know his whereabouts every instant but normally I'd expect him to be happy to talk about his life. Maybe he has something to hide?
Finally, I don't know if it is him or you, but something has you worrying about your looks. Since this has happened since you have been with him, maybe his behavior is causing it in some way? Please don't!!!. You are a reasonable weight, healthy, while I can't see you, I bet you are attractive. If he loves you, then you will be beautiful to you. My wife of 25 years really still looks as beautiful to me as when I met her - I know rationally that can't really be true - but that is what I see.
In general the best thing you can do for your appearance is be happy. A (real) smile is worth more than any amount of enlarging and shrinking of body parts.
I'm straying off topic here, but cosmetic surgery (for someone who is not deformed) really bothers me. Two things: I know some people who work for a company that makes cosmetic surgery equipment - its HORRIFYING - machines literally burn / melt fat (they test it on pork and the lab smells like burning bacon). There are all sorts of side effects and possible long term issues. The other is that I knew a beautiful woman who was lacking in self confidence. Beautiful really didn't describe her - she had a face I can only describe as Angelic. (not just me, other people had noticed as well. She was the most attractive woman I knew. She decided she didn't like her face and got a nose / eye job (and various other stuff). When it was done, she looked generic - like all other modestly attractive women, but had lost that unique beauty that had made her so special. I'm appalled a the surgeon who was willing to do that to her.
Back on topic - Don't worry about your age. 21 is still REALLY young. There are lots of people who don't meet their lifelong love until much later. Don't feel you are stuck - if you aren't really happy (and you don't sound it), leave (politely). Don't blame anyone. There are a lot of wonderful people out there that you will meet.




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He doesn't deserve a girlfriend this insecure. I'm not helping him with this either.
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