Hi @tbow. Sometimes being aware of the logic behind a medication recommendation can a help with the decision making. From my understanding, Revlimid (Lenalidomide) as maintenance drug following an auto-transplant (ASCT), is pretty standard. Basically, this drug targets and kills myeloma cells.
As I described before, an auto transplant isn’t a cure for MM but it may help get you into remission or greatly reduce the Myeloma cells. Revlimid also enhances the function of the immune system to help immune cells recognize and destroy myeloma cells. This helps prevent new myeloma cell growth.

But your concern for potential side effects is certainly valid. Quality of life is important. Many people don’t have issues but you’d like to be able to weigh your options. That’s why I think it’s important to talk with your doctor about your concerns, such as, if you do have side effects what’s her alternative plan? You and your doctor are a team in your health care journey. You should be able to help make decisions regarding treatment. ☺️

Do you know if you reached complete remission post transplant? How long ago did you have your transplant?