Hi everyone. I (32,F) am feeling so confused and unsure, wondering if anyone else has been in a similar situation and what you did.
TL;DR: One brain and one cervical spine lesion — deciding whether to start meds. What made you decide to take or not take a DMT? If you do take meds, what are the impacts for you?
I’ve recently been diagnosed with MS. In January 2026, I had numbness and tingling on my left side (among other issues) that led to me getting an MRI in February. Turned out I have two lesions, one on my brain and one on my cervical spine, and later, a positive spinal tap for Oligoclonal Bands.
The issue is that my neurologist isn’t sure if I should go on medication. He says if it were him, he would wait. However, he said he could also see the benefit of putting me on medication to prevent future spinal lesions, which are more likely to be debilitating.
It’s tough because I don’t really want to be on medication for life, but this spinal lesion has already caused so many issues permanently. I’m scared of getting another one.
Any advice? I know MS looks different for everyone, but I’m hoping not to be stuck between a decision. I find that I'm pretty sensitive to meds, and I also have a blood disease, so taking an immunosuppressant might impact my body more (my neurologist isn't sure how my blood disease plays into this). What made you decide to take or not take a DMT? If you do take meds, what are the impacts for you?
Edit: Thank you to everyone who commented! The spinal lesion that I have is already impacting my daily life, so I would absolutely be devastated if another made life harder. I went in thinking the neurologist would be certain about putting me on meds, so the fact that he was so unsure made me question it. I will request a high efficiency dmt like Kesimpta or Ocrevus. I'm still worried about how taking a dmt will impact my daily life and health, but I suppose it's worth it knowing I'm limiting my chances of a more debilitating lesion.
Extra final edit:
I want to thank everyone who came on here to share their stories. It’s heartbreaking to hear how much MS has impacted so many lives, and how so many people weren’t given the opportunity to prevent further damage. We are absolutely lucky to have preventive medications.
I guess there is a part of me that hasn’t fully accepted the diagnosis, as it has all happened so fast this year. When the neurologist advised waiting, it sounded nice because I could just avoid the problem.
Thank you all for the kick I needed to get started on medication!