My Boyfriend thinks I'm fat and ugly

Jasmine
Hello all, I'm trying to decide if I should start to leave this relationship or keep tying to be better. My boyfriend and I have been together for four years now the other day I was telling him how I want more affection such as hugs and kisses and even an occasional I love you but he proceeded to tell me that he doesn't do those things because I am unattractive and fat. I told him the next day that that really hurt my feelings and that if he's going to be mean to me and then I'm going to be the exact same way. he proceeded to tell me that no man is ever going to want me because of how I look. It took me to a really bad place where I started to believe it. what should I do? I want to have a baby but idk if I should with him. I have high prolactin due to a tumor and I have had no luck getting pregnant. I'm so depressed and I don't want to be any longer. I just want joy, and happiness . What should I do?