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The H.U.B and its three institutions in pictures
Discover the H.U.B, its spirit and its values, in pictures. A reference centre at international level located at the heart of Brussels, the Brussels University Hospital proposes general, oncological and paediatric care of the highest quality, leading edge research and high level teaching through its three institutions: the Jules Bordet Institute, the Erasmus Hospital and the Queen Fabiola Children’s University Hospital (HUDERF)
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Workshop of video-assisted technology in Thoracic Pathology
Organised on 26 and 27 September 2024 at the Erasme Hospital (Route le Lennik, 808 - 1070 Brussels) in the Wybran Auditorium (Floor -1 - Route 647).  The ‘Workshop of video-assisted technology in Thoracic Pathology’ will be held on 26 and 27 September 2024. This event will take place at the Erasme Hospital, Route de Lennik, 808, 1070 Brussels, in the Wybran Auditorium (Floor -1, Route 647).Organised by the Medical-Surgical Department of Thoracic Pathology at the Erasme Hospital and the Thoracic Surgery team at the CHU Helora Hospital in Mons (Kennedy site), this workshop is a unique opportunity for healthcare professionals to familiarise themselves with the latest technological advances in video-assisted thoracic pathology. Participants will have the opportunity to watch live demonstrations, take part in interactive sessions and discuss best practice with leading experts in the field. Don't miss this opportunity to expand your knowledge and network with colleagues and specialists in thoracic pathology. Infos and registration To discover the detailed programme and register for this event, click on the links below. Registration Programme
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A single number to call the H.U.B
Call +32 (0)2 555 55 55 for any department in Erasme Hospital, Jules Bordet Institute or Children's Hospital.  From today, you only need to remember one number to call all the services of the Erasme Hospital, the Jules Bordet Institute, and the Children's Hospital: +32 (0)2 555 55 55. Call this number and then simply follow our system that will send you comfortably and as quickly as possible to your wanted correspondant. 
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New measure in breast cancer treatment
A measure applied from 1 August From 1 August, certain stages of breast cancer treatment will be reimbursed only if the treatment was carried out in approved breast clinics, including the Erasmus Hospital and the Jules Bordet Institute. This decision was taken following a study carried out by the Federal Centre for Expertise in Health Care (KCE), which revealed that women treated in a non-accredited clinic were 30% more likely to die of breast cancer than patients treated in an accredited clinic.Find out more in the RTBF report.
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Launch of "Your Fertility, Your Story", the brand new awareness campaign of H.U.B
On the occasion of World Infertility Awareness Month, the H.U.B Fertility Clinic is launching the campaign "Your Fertility, Your Story". This public health initiative aims to better inform both the general public and healthcare professionals about contemporary challenges in fertility and its management.  Image Talking about fertility, without pressure, without taboos A campaign structured around three key concepts Moving away from any prescriptive or pro-natalist approach, this campaign aims to make fertility more understandable, more accessible, and less taboo, by acknowledging that it is intertwined with diverse, personal, and sometimes complex life paths. The campaign is built around the following core messages: Understanding your fertility does not mean deciding to have a child: Fertility is not instinctive, and while age plays an important role, it is not an injunction. Many people postpone their parenting plans for valid reasons. The campaign emphasizes that this is primarily about information and understanding one's own body, not a commitment to parenthood. Decisions take time: Indecision is common and completely normal. There is no "perfect moment." The process of a fertility assessment is presented as a tool for knowledge, allowing individuals to better understand their own situation without pressure or urgency. Fertility, a diversity of stories: Fertility, a diversity of stories: endometriosis, Metabolic Polyendocrine Ovarian Syndrome (MPOS), oncofertility, infertility, sperm and/or egg donation, the desire for single parenthood, late motherhood, genetic diseases, or even the decline in male fertility: every journey is unique. The campaign highlights that fertility does not solely concern women, but is part of a global, inclusive, and non-judgmental approach. Dr. Catherine HOUBA, Director of the Fertility Clinic and Medically Assisted Reproduction (MAR) at H.U.B: "Understanding your fertility should not be confused with an obligation to become a parent. With this campaign, we want to bring clarity to realities that are often poorly understood, and enable everyone to better understand their body, their options, and their journey." Prof. Anne Delbaere, Director of the Gynecology and Obstetrics Department at H.U.B:  "Fertility is a medical topic, but also a societal one. It involves very diverse and sometimes unexpected paths. Our role is to inform, support, and provide reliable guidance, so that everyone can move forward with solid knowledge and a more accurate vision of their reproductive health." A unique program throughout the month of June June 11, 2026 – Information booth at the Erasme Hospital (open to everyone) June 18, 2026 – Accredited symposium on personalized approaches in MAR (for gynecologists and general practitioners) June 24, 2026 – Workshops (reserved for clinic patients) on the following topics: nutrition and fertility; male sexual health in the MAR journey; MPOS and its impact on fertility. July 1, 2026 – Interactive webinar: "Deciding without a magic wand: moving forward even when you're not ready." All these activities are free of charge Discover the programme
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Fatty Liver Disease (MASLD): Global Recognition Highlights H.U.B’s Expertise
A historic milestone has been reached: the World Health Organization (WHO) has recently decided to include MASLD among non-communicable diseases, alongside cardiovascular diseases, cancers, diabetes, and chronic respiratory diseases. This recognition is a first and marks a turning point in the global approach to this condition. MASLD (Metabolic dysfunction-Associated Steatotic Liver Disease), formerly known as non-alcoholic fatty liver disease (NAFLD) or “fatty liver disease,” is now the most common chronic liver disease worldwide. In Europe, it affects between 25% and 30% of the adult population, and its prevalence continues to rise due to increasing rates of obesity, type 2 diabetes, and other metabolic disorders.Long underestimated, this condition has become a major public health challenge. Often silent for many years, MASLD can progress to severe liver fibrosis, cirrhosis, and liver cancer. It is also associated with an increased risk of cardiovascular disease.A historic milestone has recently been reached: the World Health Organization (WHO) has decided to include MASLD among non-communicable diseases (NCDs), alongside cardiovascular diseases, cancer, diabetes, and chronic respiratory diseases. This marks the first time the condition has received such recognition and represents a major turning point in the global response to the disease.This development is supported in part by several international scientific publications in The Lancet Regional Health – Europe, to which teams from the Brussels University Hospital (H.U.B) have actively contributed. Among them, a recent study highlighted the lack of preparedness of many European countries in addressing the growing burden of MASLD, including the frequent absence of national screening and management strategies.According to Professor Christophe Moreno, Director of the Medical and Surgical Department of Digestive Diseases and Head of the Department of Gastroenterology and Hepato-Pancreatology at H.U.B-Erasmus, the WHO’s decision sends a strong message:"MASLD has become one of the leading causes of chronic liver disease worldwide. Its inclusion among non-communicable diseases by the WHO confirms the scale of the health challenge we face and underscores the importance of early detection and multidisciplinary management."This international milestone also reflects the recognition of the expertise developed within H.U.B in the field of liver diseases. Professor Christophe Moreno has represented French-speaking Belgium in several European initiatives dedicated to MASLD and has contributed to the scientific work that helped advance the institutional recognition of the disease.At Erasmus Hospital, patients with MASLD benefit from a specialised multidisciplinary approach involving hepatologists, gastroenterologists, endocrinologists, cardiologists, nutritionists, and dietitians. This coordinated care model enables early detection, accurate assessment of liver damage, and comprehensive management of associated metabolic risk factors.H.U.B also participates in the development and evaluation of innovative therapeutic approaches, providing patients with access to the most advanced treatments whenever appropriate.As several million people in Belgium are affected by MASLD, the WHO’s recognition highlights the urgent need to improve awareness, screening, and management of a disease that remains insufficiently known. It also underscores the leading role played by H.U.B teams in advancing knowledge and improving liver care at both the national and international levels.
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[CLINICAL CASES] Embolisation as treatment for adhesive capsulitis
In recent years, embolization of adhesive capsulitis has developed as a new therapeutic approach, reducing inflammation and limiting the blood flow in the pathologic zones. Discover two clinical cases that demonstrate the interest and effectiveness of this approach. Image Adhesive capsulitis, treatment options and the benefits of embolisation Adhesive capsulitis, commonly known as frozen shoulder, is a pathology that affects between 2% and 10%  of the population (with a slight over-representation of women) and with an incidence that peaks between the ages of 40 and 60. The symptoms develop in stages over several months or years (up to 3 years). There are three discernible stages: a phase of severe pain, stiffness and recovery. The diagnosis essentially rests on clinical criteria and anamnesis. Imaging can assist the diagnosis by revealing certain signs, visible depending on the method used. Despite several treatment options currently available, the pathology can develop slowly, bringing a significant impairment of quality of life and prolonged incapacities.  Embolisation is a mini-invasive approach that makes it possible to reduce pain and improve shoulder movement during the months following the procedure. Discover two clinical cases that demonstrate the interest and effectiveness of this approach, which provides an additional solution to the therapeutic arsenal offered throughout the patient's journey. Read our clinical cases Embolisation as treatment for adhesive capsulitis: an innovative solution now possible at the H.U.B!Brussels, 21 January 2025 – The Department of Interventional Radiology at the Brussels University Hospital (H.U.B) is now proposing a promising and minimally invasive new treatment for adhesive capsulitis. Clinical results obtained to date confirm its effectiveness where other treatments have failed, even in the most advanced cases. Read press release Contact  and informationWould you like to find out more about the treatment of adhesive capsulitis by embolisation? Contact our experts in Interventional Radiology
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Anatomy of a Fall: Balance Disorders After a Stroke
On the occasion of the patient-caregiver workshop organized this Tuesday, February 11, by the Neurovascular Clinic on balance disorders after a stroke, Sara Ben Chekroun, physiotherapist, highlights key points to monitor in patients, both in the hospital and especially at home, to prevent falls. Interview What are the balance disorders that can occur after a stroke and why?Before explaining balance disorders, it seems useful to me to recall what a stroke is. A stroke (cerebral vascular accident) occurs when a blood clot blocks a cerebral artery (known as ischemic stroke). A stroke can also be caused by the rupture of a cerebral artery (known as hemorrhagic stroke). In both cases, part of the brain is deprived of oxygen and suffers damage. The longer it goes untreated, the more this area of the brain dies.Such an event often leaves sequelae in the body. Balance disorders may occur if the affected part of the brain directly controls balance, but also when other affected brain areas lead to complications (such as paralysis, weakness on one side of the body or a single limb, difficulty feeling the leg or the floor underfoot, or reduced visual acuity), all of which can result in balance problems. Image Other complications following a stroke (cognitive, motor, concentration, or attention disorders) as well as fatigue can also cause balance issues and increase the risk of falls. Fatigue is likely the most underestimated symptom, as it can persist long after a stroke, causing weakness and reduced attention and concentration, particularly in patients over 65.We know that someone who has had a stroke after age 65 has three times the risk of falling compared to someone of the same age who hasn't had a stroke[1].It’s truly a major concern for this at-risk population. Additionally, there's a link between depression and fall risks: 30% to 50% of stroke patients who suddenly lose their autonomy fall into depression and are more prone to falling[2].Balance disorders and the associated fall risks can also be caused by external factors such as poor medication management or an unsuitable environment.A stroke patient may be taking medications like painkillers, anticoagulants, antidepressants, or diuretics. Patients must be assisted in managing their medication because if they take too much or too little, they may experience significant side effects like incontinence, difficulty managing positional changes, blood pressure drops when getting up, or glucose fluctuations (especially in diabetic patients), all of which can increase fall risks (for example, rushing to the toilet may lead to a fall).The living environment of a stroke patient needs to be adapted to prevent falls: the presence of rugs, stairs without railings, household obstacles, poor lighting, or even unsuitable shoes or slippers can increase fall risks. Sometimes this even limits their return home. Families don’t always fully understand what a stroke entails and may not realize the extent of the complications and deficits caused by it. It’s important to know that one-third of stroke patients remain disabled in daily life even a year later[3]. The risk of falls remains high, and once a patient falls, they often develop a fear of falling. This fear leads to progressive immobility, which gradually isolates and weakens them and destroys their autonomy. It becomes a vicious circle: the less they move, the more likely they are to fall again when they do move. Statistics show that 50% of those who have already fallen once will fall a second time[4], increasing hospitalizations and exacerbating the anxiety of both patients and their loved ones.What are the most common types of falls among stroke patients?The most frequent falls occur at home or during transfers when the patient moves from a lying to a standing position, such as going to the shower or toilet. The bathroom and toilet are two environments that trigger many falls. Fortunately, severe injuries are rare, but there are still occasional hospitalizations for femoral neck fractures or cerebral hematomas. When a patient returns to the hospital after a fall, the team conducts a comprehensive reassessment of their balance, compares it with previous evaluations, and discusses the context and causes of the fall with the patient and their loved ones. All these elements influence the patient's care plan.If the patient deteriorates too much and the family no longer feels capable of caring for them at home, they are sent to a nursing home. These are very difficult situations for caregivers who struggle to understand why the patient continues to fall despite their care and attention. They are often very anxious because their daily life suddenly revolves entirely around the patient, their fall risks, the fear of falling, and the possibility of re-hospitalization. Image From another perspective, fall risks are also challenging for healthcare professionals, who, like caregivers, bear responsibility for the patient. If a patient falls during their hospital stay, it's essential to determine why and how it happened to implement preventive and/or corrective measures that ensure the patient’s safety while preserving their autonomy as much as possible. Finding the right balance isn’t always easy.Each week, fall risk assessments are conducted for older patients undergoing rehabilitation. These tests allow us to track their progress and identify what puts them at the greatest risk of falling. The results are communicated to the medical staff, doctors, and family. Good communication among all those involved in the patient's care journey is essential, especially when patients go home for the weekend. We work with the patient to identify what is difficult or easy and develop a treatment plan to work on their balance. We ensure that the family is well informed of this plan and answer all their questions and concerns. But a zero-risk scenario, unfortunately, does not exist...Depending on the stroke's sequelae, everything changes. That's why we hold meetings with the family, the doctor, paramedical professionals, and the patient to assess the situation and determine to what extent the patient is aware of their new reality outside the hospital. In the hospital, there is always someone around, the patient receives help, and they benefit from all the necessary and adapted equipment. The floor is flat! Once home for the weekend, they are confronted with "real" life, where everything becomes more complicated (getting up, dressing, washing, moving around), and they realize that it's not so simple and that the risks are high.What medical care is currently available at the Erasme Hospital (H.U.B) to help stroke patients maintain their balance?Our team works in close synergy with neurologists, diagnostic and interventional neuroradiologists, emergency doctors, intensivists, neurosurgeons, cardiologists, ENT specialists, and rehabilitation specialists (neuropsychologists, psychologists, physiotherapists, occupational therapists, nurses, and dieticians). This collaboration ensures a rapid response, accurate and early determination of stroke causes, immediate treatment adjustments to minimize recurrence risks, and early rehabilitation to reduce functional impact.Social workers from the H.U.B visit the patient and their family to assess their need for home support to ease their daily life. Psychologists are available to help the patient and their family come to terms with the loss of their "previous life."We also provide technical aids (canes, crutches, wheelchairs, and adapted scooters), most of which are reimbursed.What can the patient and/or caregiver implement at home to prevent falls as much as possible?We advise patients to have their vision and hearing checked, as these significantly impact balance. We also ensure proper medication management by avoiding side effects and adjusting medications when necessary. We recommend paying attention to the patient’s home environment:Remove rugs or use anti-slip mats.Have a walker or stable support available.Always accompany the patient on stairs.Wear appropriate shoes.Install a shower seat, grab bars, and, if necessary, a hospital bed.The important thing is that all aids, both technical and human, are ready as soon as the patient returns home. Image If the patient lives alone, they can either return home with maximum home assistance, such as:A nurse visiting morning and evening, every day;Daycare center stays;Family and household assistance.Or they may move to a nursing home if living independently is no longer feasible between home visits.Useful linksThe Belgian Stroke Council (BSC) brings together various doctors (including Dr. Noémie Ligot, Director of the Neurovascular Clinic at H.U.B) to provide comprehensive information about strokes for both patients and healthcare providers. You will also find links to associations, patient organizations, support groups, testimonies, and various free downloadable booklets.[1] Cahit U.,Demet G., Nevzat U., Serhat O., Gazi O. «charactéristics of failing in patients with stroke”. Neurology Neurosurg Psychiatry 2000[2] ibid[3]Poindessous, J., Basta, M., Gomis, N., Gonzar, A., & Dupaquier, L. (2019). La rééducation précoce post-AVC. 33(206), 16-19.[4]Batchelor F., Mackintosh S., Said C., Hill K., “Falls after stroke”, International Journal of Stroke, 2012 Contact and information Sara Ben ChekrounPhysiotherapist at the Neurology Department of H.U.BSara [dot] benchekroun [at] hubruxelles [dot] be (Sara[dot]benchekroun[at]hubruxelles[dot]be)  
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Outpatient hysteroscopy comes to the H.U.B!
The Department of Gynaecology recently inaugurated a new fully equipped unit dedicated to outpatient hysteroscopy at the Erasmus Hospital. The H.U.B is the third French-speaking centre in Belgium to propose this operative procedure during consultations for patients with abnormal uterine bleeding due to an intracavitary pathology. Dr. Ludovica Imperiale, gynaecologist specialised in minimally invasive surgery and head of the H.U.B Bleeding Clinic, discusses the benefits of offering such an integrated approach to hysteroscopy. Interview with Dr. Ludovica Imperiale What is the nature of the treatment pathway of a patient who is to undergo a hysteroscopy?Normally we propose a hysteroscopy to patients with a potential pathology of the uterine cavity, such as fibriols, polyps or endometrial cancer. It can also be proposed to patients who have given birth or had a miscarriage and who have retained placenta. The point in common between all these pathologies is that they cause abnormal uterine bleeding  in the patients. That is why a hysteroscopy is a procedure carried out at the H.U.B’s Bleeding ClinicThe treatment pathway first involves an appointment with a gynaecologist who carries out a full examination and an ultrasound so as to view the uterus in its entirety. If necessary, a diagnostic hysteroscopy can be carried out during the  consultation to confirm the pathology. If the diagnostic hysteroscopy identifies an intracavitary pathology the patient returns for a second consultation for an operative hysteroscopy to treat the lesions in the uterusMost hospitals perform an operative hysteroscopy in the operating room as the procedure requires dilation of the uterus, a painful procedure that must be done under an anaesthetic. The H.U.B is the third hospital in French-speaking Belgium to propose an operative hysteroscopy during a consultation and to have acquired TruClear®, a leading edge technology developed by the Medtronic company that, thanks to its small size, makes it possible to remove polyps or any other intracavitary pathology, in most cases without pain or bleeding and without anaesthetic. This is a truly major innovation for patients who, after this painless and rapid procedure, are rapidly able to resume their day’s activities without the least side effect.  It should be stressed that an outpatient hysteroscopy is recommended in particular for “minor” pathologies. It is not a procedure that can be proposed to all patients. Operative hysteroscopy will be proposed to patients for whom the diagnostic hysteroscopy was painless and with a benign intracavitary pathology. Of course if these patients prefer a procedure under anaesthetic this solution remains accessible.  This outpatient approach is also interesting for the hospital in the sense that not using the operating rooms for hysteroscopies frees them for other procedures at the Day Hospital, thereby reducing waiting times for patients.  How do the new unit and new equipment facilitate the treatment pathway?Everything is done at a single location, at a consultation. In the new unit we have equipped for this we have a 3D ultrasound machine and instruments to carry out diagnostic hysteroscopies and, if necessary, biopsies.  We also have a TruClear® system  that is available for outpatient operative hysteroscopies as well as virtual reality headsets for hypnosis during the procedure. Also, this unit is adjacent to the Day Hospital which means, in the case of any complication, we have rapid access to the operating room. A specialised nurse, Mme Émilie Chasseriaud, is also on hand to accompany the doctors and patients during the procedure.    What expertise does the H.U.B have in this field?The H.U.B has real expertise in this field with a team of 6 gynaecologists from the Gynaecology Clinic (myself, Dr. Soria, Dr. Vanneste and Dr. Zingarelli) and from the Fertility Clinic (Dr. Moutard and Dr. Rabattu). We are all specialised in  minimally invasive surgery and trained in the procedure. Together, we carry out 500 diagnostic hysteroscopies and 200 operative hysteroscopies a year.MAR is another field in which hysteroscopy certainly has a place as patients who go to the Fertility Clinic often need an examination that includes an examination of their intrauterine cavity before commencing their MAR treatment.The Department of Haematology  is also integrated in the Bleeding Clinic treatment pathway so as to rule out coagulation disorders as being the cause of abnormal uterine bleeding  in a patient or to treat iron deficiency anaemia caused by abundant bleeding.  What message would you like to give to gynaecologists and GPs?  The H.U.B now proposes a consultation that is completely integrated in outpatient hysteroscopy at the Erasmus Hospital every day with short waiting times. We can act rapidly in treating patients with:•    Abnormal uterine bleeding during or between periods;•    Abnormal uterine bleeding in menopausal women;•    Iron deficiency anaemia with no evident cause identified in a blood test;For any urgent request for an appointment or opinion for a patient, the gynaecology consultation can be contacted directly  by mail to Cons [dot] Gyn-Obs [dot] erasme [at] hubruxelles [dot] be (Cons[dot]Gyn-Obs[dot]erasme[at]hubruxelles[dot]be)   Contact and information Dr. Ludovica ImperialeHead of the H.U.B Bleeding Clinicludovica [dot] imperiale [at] hubruxelles [dot] be (ludovica[dot]imperiale[at]hubruxelles[dot]be) 
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Fertility Clinic – MAR (Medically Assisted Reproduction)
Contact the Fertility Clinic Are you a doctor and wish to obtain the medical results of your patients, refer a patient, or request a (second) opinion?Contact our clinic by phone at +32 (0)2 555 36 89 (weekdays between 8:30 am and 12:30 pm) or by email at secmed [dot] FIV [at] hubruxelles [dot] be.Would you like to schedule an appointment with one of our specialists for yourself or a loved one?Contact us by phone at +32 (0)2 555 48 57 or by email at cons [dot] PMA [at] hubruxelles [dot] be.Opening hours on weekdays: 8:00 am – 12:30 pm and 1:00 pm – 4:30 pm.Outside opening hours, or if you prefer to avoid waiting, our virtual AI assistant is available 24/7, both in writing and by voice. It answers your questions and forwards your request to our teams. Click here to start the conversation.Do you have an administrative request?Contact our medical administration by phone at +32 (0)2 555 36 89 or by email at secmed [dot] FIV [at] hubruxelles [dot] be.The Secretariat of the Fertility Clinic is open on weekdays from 8:00 am to 1:00 pm and 1:30 pm to 4:30 pm. For a Multidisciplinary Approach to Fertility Issues Our clinic is committed to addressing fertility issues using a multidisciplinary approach, aligned with scientific society recommendations. Because these difficulties often occur in a broader health context, including the psychological dimension, we offer comprehensive support, both medical and human. Our team accompanies you throughout your journey toward parenthood.Integrated into an academic hospital, our clinic also contributes to medical advancements through numerous research projects, continuously improving fertility care. Image Image Image A Clinic Dedicated to Supporting Infertile Couples Our fertility clinic is dedicated to supporting infertile couples on their path to parenthood. We offer personalized care, focused on solutions tailored to each situation. After a complete evaluation, we provide options such as intrauterine insemination, in vitro fertilization, and alternative parenthood options, including sperm and egg donation. Solutions to Preserve Fertility and Prevent Genetic Disease Transmission We provide preimplantation genetic diagnostics for couples who wish to avoid passing on genetic disorders to their children. Our team is fully committed to fertility preservation, whether due to cancer, endometriosis, or age-related infertility. We also manage various menstrual cycle disorders, such as polycystic ovary syndrome (PCOS) and premature ovarian insufficiency, including Turner syndrome.Our multidisciplinary approach combines rigor, humanity, and expertise, ensuring comprehensive and compassionate follow-up. Our Fertility Care Services Preimplantation Genetic Diagnosis (PGD/PGT)Preimplantation genetic testing is a technique to detect genetic abnormalities in an embryo created in vitro before uterine implantation. It is earlier and less invasive than genetic tests performed during pregnancy and allows couples carrying serious genetic disorders to significantly increase the chances of having a healthy child.Sperm DonationDonor sperm may be recommended in cases of total or near-total absence of sperm, or to prevent passing a genetic disorder from a male carrier to offspring. It is also a solution for female couples or single women wishing to conceive via medically assisted reproduction (MAR).Egg DonationEgg donation has been offered since 1984 at Erasme and has helped thousands of women worldwide become mothers. It is offered when infertility is due to very low egg quality despite ongoing menstrual cycles, or when the ovaries no longer contain follicles and are nonfunctional. Some patients also use it to prevent passing on a genetic disorder to their child.Fertility Preservation for Medical ReasonsFertility preservation is recommended when a disease or its treatment may impair fertility. Treatments such as ovarian or testicular surgery, chemotherapy, radiotherapy, or certain genetic conditions can damage ovaries or testes. This is particularly relevant in cancer treatment. Fertility preservation should ideally be considered before treatment begins. The discipline assessing these risks and providing solutions is called oncofertility.Fertility Preservation for Age (Age-Banking)Unlike men, who remain fertile at older ages, women are born with a limited egg reserve that decreases over time. Egg quality also declines, reducing pregnancy chances from age 30, with a sharper decline after 35. At Erasme Hospital, we offer egg vitrification, a rapid freezing technique preserving mature eggs for future use. We also provide sperm cryopreservation, a simple method to preserve male fertility long-term, for example, before a vasectomy.Fertility ImagingWe perform medical exams using ultrasound or X-ray to investigate infertility or conduct a fertility assessment.Intrauterine Insemination (IUI)IUI is a simple assisted reproduction technique in which prepared sperm is introduced into the uterine cavity using a fine catheter. The goal is to facilitate the meeting of gametes (eggs and sperm) in the female reproductive system. Using partner sperm is called homologous insemination (IAC), and donor sperm is called donor insemination (IAD). Dr. Catherine Houba, Director of the Fertility Clinic Obstetrician–Gynecologist specialized in Reproductive Medicine.Dr. Houba is deeply committed to the prevention of infertility. Her work addresses a wide range of topics, from reverse family planning to oocyte self-preservation.“As Clinic Director, I firmly believe that developing collective intelligence—both within my team and in our interactions with patients—is key to success. It allows us to foster an environment of collaboration, innovation, and personalized care, all of which are essential to medical excellence.” Make an appointment A Team of Specialists Guiding You Step by Step Our clinic brings together a team of experts dedicated to your project:Fertility-specialized gynecologistsReproductive biologistsPsychologists and emotional support counselorsNurses and care coordinatorsAndrology and endocrinology specialistsWe work together to ensure comprehensive and personalized care. Our Doctors Dr. Soraya AMIRGHOLAMISpecialties: All MAR requests; egg donation; anonymous egg donors; infertility and endometriosis.Languages: French, EnglishDr. Elisabeth ANAGNOSTOUSpecialties: All MAR requests; MAR cycle management in Tournai.Languages: French, Greek, EnglishDr. Margherita CONDORELLISpecialties: All MAR requests; oncofertility; fertility preservation for medical reasons; fertility evaluation and counseling; fertility imaging (SIS, HyCoSy).Languages: French, Italian, EnglishDr. Serge DE LATHOUWERSpecialties: All MAR requests; fertility preservation; cycle monitoring (Duke Center, Woluwe).Language: FrenchPr. Anne DELBAERESpecialties: All MAR requests; genetic disorders and reproduction; preimplantation genetic diagnosis; reproductive endocrinology; premature ovarian insufficiency; Turner syndrome (Turner platform); egg donation; fertility preservation; recurrent miscarriage assessment.Languages: French, Dutch, EnglishDr. Isabelle DEMEESTERESpecialties: Oncofertility; fertility preservation for medical reasons.Languages: French, EnglishDr. Fabienne DEVREKERSpecialties: All MAR requests; preimplantation diagnosis; andrology.Languages: French, EnglishDr. Michel DIKETESpecialties: All MAR requests; general gynecology and obstetrics.Language: FrenchDr. Isabelle DUPONDSpecialties: All MAR requests; fertility preservation; preimplantation diagnosis; anonymous sperm donors; follow-up monitoring (Souverain Center).Languages: French, English, GermanDr. Ornite GOLDRATSpecialties: Onco-sexology.Language: French Dr. Catherine HOUBASpecialties: All MAR requests; fertility evaluation and counseling; fertility preservation; recurrent miscarriage assessment; anonymous sperm donors.Languages: French, EnglishDr. Christian KAMTO FOTSOSpecialties: All MAR requests; MAR cycle management in Ath.Languages: French, Italian, EnglishDr. Caroline LECOCQSpecialties: All MAR requests; anonymous egg donors; egg donation; cycle monitoring (Lecocq practice).Language: FrenchDr. Noé MOUTARDSpecialties: All MAR requests; infertility imaging (SIS, HyCoSy, receptivity assessment); fertility surgery, endometriosis.Languages: French, EnglishDr. David PENINGSpecialties: All MAR requests; andrology; infertility imaging (SIS, HyCoSy, receptivity assessment); oncofertility.Languages: French, Dutch, EnglishDr. Agathe RABATTUSpecialties: All MAR requests; fertility surgery; infertility and endometriosis.Languages: French, EnglishDr. Asma SASSISpecialties: All MAR requests; pediatric and adolescent gynecology; MAR requests in patients with viral risk (HIV); premature ovarian insufficiency; Turner syndrome (Turner platform); genetic disorders and reproduction.Languages: French, English, ArabicDr. Noémie VANCOPPENOLLESpecialties: All MAR requests; anonymous egg donors; egg donation.Languages: French, EnglishDr. Mélodie VANDER BORGHTSpecialties: All MAR requests; reproductive endocrinology; pediatric and adolescent gynecology; infertility imaging (SIS, HyCoSy, receptivity assessment).Languages: French, English Nurses and Midwives Faten ABI-LOTF Asmae BOUZAHZAH Mélanie GIESKESSamira IBRAHIMIChristina KOUROUTZIOUDI Margherite LEFEVRE Nancy LIMAGE   Meli LUKUBIKA Fabienne OOSTERS      Study nurses Lydia AIT AHCENEFrançoise HENRY Psychologists Chantal LARUELLEIsabelle PLACEDenis WALRAVENS Secretariat and Coordination Chantal DELEAUJeeny FARREEDUNLinda GOUINNawal KARROUMLaetitia VAN STICHELSonia XAMBRE CORDEIRO Biologists Director of MAR LaboratoryNecati FINDIKLILarissa BAUDUIN Jamila BIRAMANE Salomé BORNEMANN Penelope COUTURIER Anne DANNAUKhanssae EL HANCHIGiovanna FASANO Eric GONZALEZ Elodie HUON Danijel JANKOVICSandie JANSSENSGuillaume MBONGOLO MBELLAOzlem OKUTMAN Thi Mai UYEN NGUYEN Anne Sophie VANNIN     Research Laboratory Julie DECHENE   Géraldine VAN DEN STEEN       Services We Collaborate With to Provide Complete Care Clinic of Gynecological Surgery Clinic for Endometriosis Lien vers Clinic for Endometriosis Clinic of Gynecological Ultrasound Lien vers Clinic of Gynecological Ultrasound Clinic of Obstetrics Lien vers Clinic of Obstetrics We closely collaborate with other clinics in the Gynecology-Obstetrics department, including the gynecologic surgery clinic, the endometriosis clinic, the gynecologic ultrasound clinic, and the obstetrics clinic, which helps us prepare for sometimes challenging pregnancies. The Natus unit also supports more delicate situations.We are part of the transgender platform, which supports individuals in their gender transition journey.We work closely with the genetics department for the preimplantation genetic testing program and gamete donor selection. They help inform patients about specific genetic risks.We collaborate with the children’s hospital (HUDERF) for fertility preservation in children with cancer and for gynecologic consultations for children and adolescents.Finally, our oncofertility team works in close synergy with the various services at the Jules Bordet Institute, ensuring complete and personalized care. Resources and Useful Links on Fertility and Medically Assisted Reproduction We provide a series of content (produced by doctors, researchers, patient associations, and public health actors) that helps you better understand and manage your fertility and identify support groups for exchange. Informed patients are empowered to make well-informed decisions about their health. Our teams are available to answer any questions. [APP] App for communication with patients during the cycle [WEBSITE] Information site on fertility and educational tools for youth [WEBSITE] WHO – General information on infertility worldwide FAQ on Fertility and Medically Assisted Reproduction 1. What is infertility? Infertility is defined as the inability to achieve a pregnancy after 12 menstrual cycles, despite regular sexual intercourse during ovulation. It affects about 20% of couples. Humans, with roughly a 15% chance of conceiving per cycle, are among the least fertile species, alongside pandas. 2. What are the main symptoms of infertility? Difficulty conceiving is often the only noticeable sign of infertility. However, some symptoms may serve as warning signs. In women, irregular menstrual cycles, pelvic pain, or menstrual disorders can be indicative. In men, erectile difficulties, reduced libido, or changes in sperm appearance can be signals to consider. If you experience these symptoms and wish to conceive, it is recommended to consult a fertility specialist to identify the causes and explore appropriate solutions. 3. What are the causes of infertility in men and women? In women, common causes include ovulation disorders (such as polycystic ovary syndrome), blocked fallopian tubes, endometriosis, or hormonal problems. In men, abnormal sperm production or ejaculation problems are the main causes of infertility. 4. Is infertility only a female problem? No, infertility affects both men and women. About one-third of cases are due to female factors, one-third to male factors, and the remaining third results from combined or unexplained factors. That is why it is essential that both partners are evaluated to best identify the causes and possible solutions. Infertility is an issue that concerns the couple as a whole. 5. How long should one wait before consulting for infertility? It is recommended to see a doctor after one year of unsuccessful attempts for patients under 35. Beyond this age, a consultation is advised after six months, as fertility decreases over time. The doctor can then carry out various tests to evaluate the couple’s fertility, including sperm analysis, gynecological ultrasounds, hormone measurements, and other tests tailored to each situation. 6. What is MAR (Medically Assisted Reproduction)? Medically Assisted Reproduction (MAR) encompasses a range of techniques designed to help couples who have difficulty conceiving naturally. These methods include intrauterine insemination (IUI), in vitro fertilization (IVF), sperm or egg donation, gamete cryopreservation (eggs and sperm), and preimplantation genetic testing. 7. Are infertility treatments effective? Infertility treatments can be very effective, but success varies depending on several factors, such as age and cause of infertility. Treatments like IVF tend to have higher success rates in younger couples. A personalized evaluation by a specialist helps guide the most appropriate strategy for each situation. 8. How does In Vitro Fertilization (IVF) work? An IVF cycle usually lasts about four weeks and follows a defined protocol. First, ovarian stimulation for around 10 days is performed to promote the maturation of multiple eggs. Once ovulation is triggered, the eggs are retrieved via a vaginal puncture and fertilized in the lab with the partner’s or donor’s sperm. After five days of embryonic development, one embryo is transferred into the uterus. About 10 days after the transfer, a pregnancy test checks whether implantation has succeeded. 9. What are the chances of success with MAR? Success rates for MAR depend on several factors, including the woman’s age, the quality of eggs and sperm, and the technique used. On average, IVF has a success rate of 30–40% per embryo transfer for women under 35. This rate gradually decreases with age. Multiple attempts are often needed to achieve pregnancy. 10. Who can access MAR in Belgium? MAR is available to heterosexual couples, same-sex couples, and single women, regardless of marital status. Belgian law also allows sperm or egg donation. IVF is legal up to 45 years of age and partially reimbursed by social security up to 42 years. 11. Are the treatments painful? Each treatment journey is different, but we do everything possible to make the procedures as comfortable as possible. 12. Can I undergo MAR as a transgender person? Yes, we support all individuals wishing to become parents, regardless of their gender identity or personal situation.