Hi Jeanrose, not everyone has SCT and it isn’t essential to our wellbeing. In the UK common protocol is to have SCT if possible, but some health systems, such as USA, are moving away from it. Our overall survival times are statistically the same whether or not we have SCT, so the main benefit to us as patients is having a longer first ‘remission’ period. Some patients used to like having a drug free period after SCT, whereas without SCT your husband is likely to be on continuous drug therapy, although it’s now known that even after SCT patients do better on low dose maintenance, and lenalidomide was recently approved for this purpose.
I haven’t heard of anyone with myeloma whose condition/symptoms didn’t improve (totally or partially) once their myeloma was under control and once we’ve acclimatized to the drugs.
Keep hope alive, your husband is likely to get a lot better.