On the one hand, telling her what's wrong seems absolutely anathema right now, completely and utterly, he needs to be the right kind of person here and be in control to enjoy what they are doing to the fullest.
On the other hand, she's asked that question a number of times before, and always wanted the true answer, and he has a pattern of answering when she asks like that.
He makes a high-pitched indecision noise for several seconds and then all in one breath, "I want to put you under the desk and have you wait that was the plan but also I'm really really turned on and don't want to have an accident and you could suck me off but then we wouldn't do the under desk things and I don't know what to do." He closes and eyes and winces. One bit of good news: telling her all of that has made him be less turned on. (Only less, though. All it takes is a memory of the fact that she's looking up at him like that or what it felt like twisting and feeling her enjoy it and he's still pretty hard. And it's hard not to think about those things at the moment.)