It's a very tough choice to make, Cheryl, and I don't envy you having to decide.
One important factor is your
IPSS classification (low-risk, intermediate-1, intermediate-2, or high-risk. Have you been classified on that scale?
Another is what they call
comorbidities (a rather icky word, if you ask me). It means other major health conditions (diabetes, high blood pressure, pulmonary or kidney problems, etc.) that put you in a higher risk category than the healthiest patients of your age group, even if you ignore the MDS.
The higher your IPSS risk and the fewer your comorbidities, the more likely it is that doctors will recommend a transplant over drug therapy.