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If you have signs or symptoms common to cystocele, make an appointment with your primary care provider. In some cases when you call to set up an appointment, you may be referred immediately to a doctor who specializes in conditions affecting the female reproductive tract ( gynecologist) .

Here' s some information to help you prepare for your appointment and what to expect from your doctor. What you can do Write down any symptoms you' ve had, and for how long.

Make a list of your key medical information, including any other conditions for which you' re being treated and the names of any medications, vitamins or supplements you' re taking. Take a family member or friend along, if possible.

Sometimes it can be difficult to soak up all the information provided to you during an appointment.

Someone who accompanies you may remember something that you missed or forgot. Write down questions to ask your doctor. Creating your list of questions in advance can help you make the most of your time with your doctor.

For cystocele, some basic questions to ask your doctor include: What is the most likely cause of my symptoms?

Are there any other possible causes? Do I need any tests to confirm the diagnosis?

What are the goals of treatment in my case? What treatment approach do you recommend? If the first treatment doesn' t work, what will you recommend next? Am I at risk of complications from this condition?

What is the risk that this problem will recur in the future? Do I need to follow any restrictions?

Are there any self- care steps I can take? Should I see a specialist? In addition to the questions that you' ve prepared to ask your doctor, don' t hesitate to ask questions during your appointment at any time that you don' t understand something. What to expect from your doctor Your doctor is likely to ask you a number of questions.

Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask: What are your symptoms? When did you first notice these symptoms? Have your symptoms gotten worse over time? Do your symptoms include pain?

If yes, how severe is the pain? Does anything in particular trigger your symptoms, such as coughing or heavy lifting? Do your signs and symptoms include urine leakage ( urinary incontinence) ? Do you have frequent bladder infections? Do you have pain or urinary leakage during intercourse?

Have you had a chronic or severe cough? Does your work or daily activities involve heavy lifting? Do you strain during bowel movements? Are you currently being treated or have you recently been treated for any other medical conditions?

What medications are you taking, including over- the- counter and prescription drugs as well as vitamins and supplements? Do any of your first- degree relatives & mdash; such as a parent or sibling & mdash; have a history of cystocele or other pelvic floor disorders?

How many children have you delivered? Were your deliveries vaginal or cesarean? Do you plan to have children in the future?

What else concerns you? & copy; 1998- 2011 Mayo Foundation for Medical Education and Research ( MFMER) .

( CNN) - - Researchers announced this week that they' ve found a new gene, ALS6, which is responsible for about 5 percent of hereditary Lou Gehrig' s cases. It' s being called a & quot; momentous discovery& quot; by the Amyotrophic Lateral Sclerosis Association. Scientists at Massachusetts General Hospital, the University of Massachusetts and Kings College in London found the mutation by doing detailed sequencing of the genes in several families with an inherited form of ALS. The findings are published in the February 27 issue of the journal Science and were partially funded by the ALS Association. ALS, a disease of the nervous system, impairs muscle movement and eventually results in total paralysis.

It was brought to national attention in 1939, when famed Yankee baseball player Lou Gehrig' s illness was diagnosed as amyotrophic lateral sclerosis, or ALS. Today, the disease is most commonly known by his name. ALS6 is a protein normally found inside a cell' s nucleus, but in patients with Lou Gehrig' s disease, it is found outside the nucleus and sometimes forms unusual clumps. ALS researchers are unsure why this occurs but believe this finding, combined with a gene they discovered last year, TDP- 43, may lead them to a firmer idea of what causes this deadly disease. Both genes help in building and transporting proteins and making sure they' re in the right place in cell structure - - a process called RNA processing.

Lucie Bruijn, senior vice president of research and development at the ALS Association, likens this process to building an engine: If there are parts missing or placed in the wrong place or in the wrong way, the engine doesn' t work right. & quot; Everything has an exquisite role and has to be in the right place, and any imbalance . . . can cause things to go awry, & quot; Bruijn said. & quot; It' s exciting because what it' s starting to tell us now is that we might be starting to get an underlying theme, & quot; Bruijn said. & quot; We now have two genes with similar function strengthening the idea that alterations in RNA processing is important in . A completely new direction and also involved in many other neurodegenerative diseases. & quot; She believes this gives researchers & quot; huge& quot; potential to develop new therapies. And new therapies are needed.

There is no cure and only one treatment for ALS, a neurodegenerative disease that seems to progressively attack the nerve cells in the brain and spinal cord. These attacks can cause symptoms such as muscle weakness, twitching, cramping and thick speech, eventually leading to paralysis.

According to the ALS Association, the disease strikes a little more than 5, 600 people every year, and about 10 percent of those cases are hereditary. The discovery of this new gene mutation will also allow those with ALS in their family to be for another gene ( this makes three genes) .

Bruijn says a test & quot; will be possible; however, currently, it is not widely accessible& quot; and & quot; it would only be used in familial ALS patients. & quot; All About & bull;