Connect with others who understand.

  • Learn from expert-reviewed resources
  • Real advice from people who’ve been there
  • People who understand what you’re going through
Sign Up Log In
Powered By
Real members of MyMyelomaTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

I was diagnosed 1/21/21 I am now in my 5th year of .multiple Myeloma Dr gave me 5 years before I may have to start treatment of some level.

January 14
 · 
Reactions
A MyMyelomaTeam Member

With multiple myeloma, treatment decisions are driven almost entirely by objective data, not just the diagnosis itself. Myeloma can behave very differently from person to person—some cases are aggressive and need immediate treatment, while others are slow-moving and can be safely monitored for a long time

Starting treatment too early can expose patients to serious side effects, resistance to future therapies, and reduced options later on—especially since myeloma is usually treated over many years, not just once.

That’s why early discussions often focus on monitoring, education, and planning, while labs, imaging, and bone marrow results guide when and how treatment should start.

February 8
A MyMyelomaTeam Member

The Multiple Myeloma Research Foundation, The International Myeloma Foundation and the Healthtree Foundation websites have lots of information on Myeloma treatments, side effects, clinical trials etc.

January 18 (edited)
A MyMyelomaTeam Member

Mary,
If you have Multiple Myeloma, you should be on some type of treatment. If you are Smoldering like me, then it is wait and see, but you still should be having scans like I am. Are you seeing a Hematologist/Oncologist who is a MM Specialist? If not, you need one or a second opinion. The Multiple Myeloma Research Foundation has a list of MM Specialists around the country. They also have Counselors to talk to. HTTPS://www.themmrf.org/
Paula🌹

The MMRF | Multiple Myeloma Research Foundation
The MMRF | Multiple Myeloma Research Foundation
January 14
MyMyelomaTeam

Why isn't treatment discussed immediately after a myeloma diagnosis instead of waiting on lab work?

It sounds like you may have been diagnosed with smoldering myeloma, which is an early stage that doesn't always require immediate treatment. Your doctor's approach of monitoring rather than treating right away is actually a Show Full Answer

Why isn't treatment discussed immediately after a myeloma diagnosis instead of waiting on lab work?

It sounds like you may have been diagnosed with smoldering myeloma, which is an early stage that doesn't always require immediate treatment. Your doctor's approach of monitoring rather than treating right away is actually a common and appropriate strategy for some people with myeloma.

Here's why the "watch and wait" approach happens:

* Not all myeloma requires immediate treatment - some cases progress slowly
* Starting treatment too early when it's not needed can expose you to unnecessary side effects
* Doctors need complete lab work and testing to determine the best treatment approach when the time comes
* Monitoring helps track if and when the disease progresses to a point where treatment becomes necessary

If you have smoldering myeloma, you'll be monitored regularly for signs of disease progression. This ongoing monitoring through blood tests, bone marrow biopsies, and imaging helps your doctor know the right time to start treatment.

That said, it's completely reasonable to want more discussion about what treatment options might look like in the future. Consider asking your doctor:

* What specific markers they're watching to decide when treatment should start
* What treatment options would be available when needed
* What signs or symptoms should prompt you to call sooner

Being informed about potential future treatments can help you feel more prepared and involved in your care decisions.

January 14

Related Questions

View All
A MyMyelomaTeam Member asked a question 💭
Oceanside, CA

A MyMyelomaTeam Member asked a question 💭
West Central Minnesota, Minnesota

A MyMyelomaTeam Member asked a question 💭
South Casco, ME