Yes, this is a real Am I The Asshole, not one where the answer is super obvious and the user is just looking to have their ego stroked.
My SO has BDD and genuinely thinks they look ugly naked. I think they’re 1000% incorrect and that they’re the sexiest human alive, and I would die happy if I could see them naked all the time.
I was diagnosed with a condition called Cone Rod Dystrophy which basically means I’ll lose color vision, then all vision. The timeline is anywhere from next week to 50 years from now.
I want to see them naked every chance I can get so I can cement it in my head before I go blind, but I feel gross for posing that as a reason to let me see them naked.
Like, in the 10 years we’ve been together I’ve never even asked them for a hand job if they didn’t feel up to sex because I didn’t want to seem like a callous asshole, so this would be a big ask from me.
To add in complications, they’re also on the spectrum. Not a criticism since I’m most likely on it too.
This is really difficult as your impending doom feelings are somewhat clouding your natural inclinations.
However, it seems like you have not expressed your desires, wishes and reasoning openly and transparently, which would be a good start.
I would say one-sided gratification is not inherently bad if there is trust, safety, an easy out and frequent check-ins, but those need constant attention.
I would echo other commenters saying ultimately you’ll have to feel your way.