Hello @donnamae90. Unfortunately, fatigue can be a side effect of MDS if there is a decrease in the production of your red blood cells. They carry oxygen around your body and when their population is reduced, you can feel pretty sluggish.

If you’re new to this diagnosis of MDS (Myelodyplastic syndromes) here are a couple of good articles to give you an overview of the condition, how they are diagnosed and the possible treatment options.

From Mayo Clinic:
https://www.mayoclinic.org/diseases-conditions/myelodysplastic-syndrome/symptoms-causes/syc-20366977
From Verywellhealth.com
https://www.verywellhealth.com/what-are-myelodysplastic-syndromes-mds-2252548
From Healthline:
https://www.healthline.com/health/myelodysplastic-syndrome
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We also have many discussions with our members who have/had MDS. Here are two to get you started:

Anyone dealing with MDS and how are you doing?
https://connect.mayoclinic.org/discussion/anyone-dealing-mds-and-how-are-you-doing/
Living with MDS
https://connect.mayoclinic.org/discussion/living-with-mds/
There are several subtypes of MDS which will determine the treatment options.
Where are you in your MDS diagosis? Has your oncologist hematologist discussed treatments for you?