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In November 2024, this specialty will be highlighted during a dedicated event, underscoring the importance and advancements of epilepsy neurosurgery in Belgium. Healthcare professionals will have the opportunity to gather, share their knowledge, and explore new perspectives offered by this discipline. Epilepsy neurosurgery in Belgium: a leading specializationIn Belgium, neurosurgery, and more specifically epilepsy neurosurgery, represents a medical specialty that is both advanced and rare. Essential for the treatment of patients with epilepsy who are refractory to traditional medication treatments, this discipline is distinguished by its cutting-edge techniques and promising results.State-of-the-art equipment at the H.U.B.The Brussel University Hospital (H.U.B.) stands out for its use of advanced technologies for the treatment of epilepsy, notably SEEG (stereo-electroencephalography) and, soon, LITT (laser interstitial thermotherapy). The H.U.B. boasts some of the leading specialists who utilize this advanced equipment, crucial for pediatric patients resistant to traditional pharmaceutical treatments.SEEG: precision and effectivenessSEEG provides a detailed mapping of brain activity, accurately pinpointing epileptogenic zones. With this technique, neurosurgeons can identify the areas responsible for epileptic seizures with great precision, facilitating more targeted and effective interventions.LITT: minimally invasive innovationSoon, the H.U.B. will integrate LITT into its treatment protocols. This technique offers a minimally invasive solution for treating the epileptogenic zones identified by SEEG, using a laser to destroy the brain tissue responsible for seizures. LITT serves as an effective alternative to traditional open surgeries when the functional or cognitive risk is too high. It provides a curative solution for patients who were previously deemed inoperable.An international symposium in November 2024On November 8, 2024, the H.U.B. will host an international symposium dedicated to epilepsy neurosurgery. This event will bring together world-renowned experts to discuss the latest advancements and innovative perspectives in this highly specialized field. The goal is to improve the care of epilepsy patients and to promote cutting-edge surgical techniques.Practical InformationDate: November 8, 2024Time: 8:30 AM - 5:30 PMLocation: Museum of Medicine, Erasme Hospital ULB, 808 route de Lennik, 1070 BrusselsTo access the detailed program and register, please follow this link.

What is esophageal dysplasia? Dysplasia is a precancerous lesion. Various factors, including alcohol and tobacco consumption, as well as gastroesophageal reflux, can alter the type of cells lining the esophagus (for example, Barrett’s esophagus). In some cases, there is an increased risk of cancer. Today, it is possible to detect precancerous lesions and, in some cases, remove them (endoscopic resection by mucosectomy or endoscopic submucosal dissection (ESD)) or ablate them by burning (radiofrequency). Esophageal dysplasia: what medical management at the H.U.B? Thanks to the expertise of the team and the latest-generation endoscopes available at the Endoscopy Clinic of Erasmus Hospital, it is possible to identify these precancerous lesions with great precision and treat them optimally, in order to limit the need for esophageal surgery and the risk of disease progression. The multidisciplinary approach typical of an academic hospital makes it possible to discuss each patient jointly with the surgical, oncological and radiological teams, in order to offer the best treatment to each patient.If you have undergone an endoscopy that showed the presence of Barrett’s esophagus or dysplastic (precancerous) lesions, and you wish to obtain the opinion of the specialized Erasme team, do not hesitate to make an appointment for a consultation (by email at ConsGastroMed [dot] erasme [at] hubruxelles [dot] be or by phone at +32 (0)2 555.35.04). Depending on your file, a new endoscopic evaluation may be proposed using our latest-generation endoscopes, in order to define the best treatment to offer. Discover the H.U.B Endoscopy Clinic Esophageal dysplasia: what scientific and medical innovations at the H.U.B? Our hospital benefits from accreditation from the INAMI/RIZIV for the use of radiofrequency to treat Barrett’s esophagus endoscopically (in cases of precancerous lesions or after ablation of an early cancer). In addition, Erasme Hospital is accredited by the INAMI/RIZIV as a reference center for esophageal surgery (specialized contracted center), making this multidisciplinary approach crucial for better patient treatment. Finally, several scientific publications have been issued by the team on this subject in recent years, demonstrating the pioneering nature of the endoscopy clinic in this field. Our Contributions to Scientific Research As members of a leading academic hospital, our healthcare professionals conduct scientific research projects to advance medicine and continuously improve the quality of care provided to patients. View the list of our scientific publications

The teams at the Department of Gastroenterology and Digestive Oncology of the Erasmus Hospital and Jules Bordet Institute propose a fast track diagnosis of colorectal cancer. The teams at the Department of Gastroenterology and Digestive Oncology of the Erasmus Hospital and Jules Bordet Institute propose a fast track diagnosis of colorectal cancer for patients showing warning signs, a positive result for the presence of blood in the stools or at high risk. On 20 and 21 March a giant colon will be installed in the lobby of the Erasmus Hospital and Jules Bordet Institute. Professionals from our institutions will be present to accompany you as you discover this organ and to stress the importance of colorectal cancer screening.  Essential screening Every year more than 8,000 Belgians, men and women, are diagnosed with colorectal cancer. In 90% of cases they are aged over 50. One third of these people die from their cancer because it was detected too late. If treated in time, colorectal cancer is cured in 90% of cases. Faced with this situation, our professionals decided to put into place fast track diagnosis for patients with warning signs or at high risk.  Screening with a colonoscopy is essential as it reduces the risk of developing a colorectal cancer and cuts colorectal cancer mortality by 50%. In addition to the diagnosis, this examination also has a treatment value as it makes it possible to detect the cancer at an early stage and to prevent a cancer developing by removing colorectal polyps and early stage cancers.  Who is the screening for? In the general population the risk becomes significant after the age of 50. From that age it is easy to effect the screening test by searching for blood in the stools. This test is proposed by your Region via a personalised invitation every two years (Brussels: www.Bruprev.be; Wallonia : www.ccref.org; Flanders: https://www.cvko.vlaanderen/) If you are a person at risk (a hereditary mutation such as familial adenomatous polyposis or Lynch syndrome, personal or family history of polyps and/or colorectal cancer, inflammatory disease of the  digestive tract  - Crohn’s disease or rectocolitis) or if you show warning signs such as the presence of blood in the stools, an unexplained or lasting change in the frequency of bowel movements, abdominal pain or unexplained weight loss, you can make an appointment with our professionals who will then rapidly schedule a colonoscopy.  Gastroenterology consultation: • Jules Bordet Institute +32 (0)2 541 34 80 • Erasmus +32 (0)2 555 35 04 Screening consultation Jules Bordet Institute (if no symptoms) : +32 (0)2 541 30 55 A giant colon and a mini exhibition to boost awareness The month of March is colorectal cancer awareness month. On this occasion the Jules Bordet Institute will be organising an awareness raising event complete with a giant colon. Accompanied by health professionals, you can go inside the colon to discover the organ in 3D and better understand why and how to protect yourself against colorectal cancer, one of the most deadly cancers in Belgium. Note the dates: 20 March at the Erasmus Hospital, between 9 am ad 4 pm; 21 March at the Jules Bordet Institute, between 9 am and 4 pm.  

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.Are you affected by cancer and wish to learn more about your fertility?Discuss it with your doctor, who can reach us on all working days at +32 (0)2 555 53 77.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 FINDIKLIJAMILA BIRAMANE Salomé BORNEMANN Penelope COUTURIER Anne DANNAUGiovanna FASANO Eric GONZALEZ Elodie HUON Sandie JANSSENSGuillaume MBONGOLO MBELLA    µOzlem OKUTMAN Olga TOUMPA Thi Mai UYEN NGUYEN Anne Sophie VANNIN Sophie VENS   Danijel JANKOVICLarissa BAUDUIN      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.

What is fertility imaging? These are medical examinations using ultrasound or X-ray imaging to understand infertility or to perform a fertility assessment. Medical services Endovaginal UltrasoundPelvic ultrasound is the first exam performed to assess female reproductive organs. It is performed using a probe inserted vaginally. The number of small follicles, called “antral follicles,” in each ovary is counted. This number provides an idea of your ovarian reserve, i.e., your potential response in case of ovarian stimulation.Several pathologies associated with infertility are also checked:Uterus: presence of fibroids, polyps, or congenital anomalies such as a septum.Ovaries: detection of cysts, particularly related to endometriosis.Fallopian tubes: assessment for hydrosalpinx, commonly called “dilated tube.”This ultrasound is usually performed in the first days of the menstrual cycle.SIS (Saline Infusion Sonography or Hysterosonography)This exam allows visualization of your uterine cavity (endometrium) and uterine walls (myometrium). It is ideally performed at the end of your period, before the 11th day of your cycle. You are positioned gynecologically, and after vaginal disinfection, a soft catheter is placed in the uterus to instill saline solution to detect possible intrauterine pathologies causing infertility. The sonographer explains each step during the exam.HyFoSy (Hysterosalpingo-foam-sonography)This exam is performed in gynecological position after vaginal disinfection to evaluate the patency of the fallopian tubes and detect any pathologies that could explain infertility. It is performed at the end of your period, before the 11th day of your cycle. It requires the injection of a specific foam gel (ExEm® Foam) using a soft balloon catheter placed inside your uterus.It is recommended to take a painkiller one hour before the exam, as it can be painful like heavy periods for some patients.Your prescribing physician will evaluate whether antibiotics are necessary before the exam. A PCR test for chlamydia or gonorrhea in the cervix or urine is useful for prevention. If a tubal pathology is discovered, the sonographer will reassess the need for antibiotics if it has not been done previously. The sonographer explains each step during the exam.Complete Fertility AssessmentThis exam first involves a complete endovaginal ultrasound, followed by a SIS. The catheter used for this exam remains in place and is used for the injection of ExEm® Foam. This allows visualization of both the inside of the uterus and the patency of the fallopian tubes in a single appointment. Ideally, it is performed before the 11th day of your cycle. Prophylactic antibiotics may be prescribed if necessary. It is also recommended to take a painkiller one hour before the exam.Assessment of Vascularization / Endometrial ReceptivityThis exam is proposed in cases of repeated embryo implantation failures.The sonographer examines the vascularization of your uterine arteries and the volume of your endometrium. This exam is ideally performed the week after ovulation or following a specific hormonal treatment prescribed by your gynecologist.If the results are abnormal, the sonographer may propose a treatment of at least three months before reassessing endometrial receptivity.During the second exam, a biopsy of your endometrium may be performed for histopathological analysis to detect acute endometritis. You can discuss with your doctor the relevance of this analysis in your specific case.HysterosalpingographyThis exam tests tubal patency and the shape of the uterine cavity. It takes place in the radiology department since it uses X-rays and contrast medium instilled into the uterus by a gynecologist. The radiologist interprets the images.It is performed at the same time of the cycle and with the same precautions as HyFoSy.It is now rarely prescribed since HyCoSy was developed. Advice Take a painkiller, such as an anti-inflammatory (e.g., Ibuprofen 400) or a spasmolytic like Buscopan, about 1 hour before the exam, as uterine contractions may occur during the procedures.Do not forget your written request signed by your prescribing physician. Focus Our fertility imaging team consists of gynecologists who are also part of the IVF team. You benefit from their dual expertise for detecting abnormalities and understanding your infertility. Our Specialists Appointment procedures for gynecological ultrasound (route 178):For evaluation ultrasounds, SIS, or HyFoSy: call 02/555.36.36 as soon as your period starts to schedule an appointment before the 11th day.For hysterosalpingography: call 02/555 33 12 as soon as your period starts to schedule an appointment before ovulation.Gynecology-Obstetrics ServiceDr. Margherita CONDORELLIDr. Noé MOUTARDDr. David PENINGDr. Mélodie VANDER BORGHTAssociated ServicesRadiology ServicePr SADEGHI MEIBODI NILOUFAR

What is fertility preservation? Unlike men, who can remain fertile later in life, women are born with a predetermined stock of eggs that gradually decreases over time. With age, the quality of eggs also decreases, leading to reduced fertility and lower chances of pregnancy starting around age 30, with a more significant decline after 35.In today’s world, women (and men too) increasingly wish to have children later in life for various reasons (wanting to enjoy life before starting a family, meeting the right partner, economic or professional constraints).There is also widespread lack of knowledge about fertility changes in women. Many believe that medicine will be effective in cases of age-related infertility, which is not entirely true, as only anonymous egg donation can help in this case. The idea of egg preservation is to plan a “self-donation” for the future, with the advantage of maintaining a genetic link. Medical services Oocyte (egg) vitrificationThis rapid-freezing technique allows mature oocytes collected after ovarian stimulation to be preserved intact for future use. These oocytes will be fertilized with sperm from the partner (or a donor). The embryos obtained in the laboratory will be transferred one per cycle into the uterus, with pregnancy chances similar to those at the age of freezing.At Erasmus Hospital, we perform this procedure until the day before your 39th birthday, but oocyte preservation should ideally be done before age 36 to provide the best chance of pregnancy. The ideal age for this procedure is around 32-33, especially if you want multiple children: the first may come spontaneously, but you may need your preserved oocytes for the second.Collected and vitrified oocytes are stored for 10 years, which can be shortened or extended upon request. Regarding the use of these oocytes for a parental project, in Belgium, the maximum age is 45 for the request to fertilize your oocytes and 47 for embryo transfer.In practice, you should contact the clinic before your 38th birthday to schedule appointments with the doctor and psychologist. They will evaluate your request, define your expectations and options regarding the gametes, and provide all necessary information and assessments before considering the procedure.What you should know:This procedure is not fully covered by health insurance: ovarian stimulation treatments and laboratory egg freezing costs are fully at your expense, between €2,500 and €4,000 depending on your personal situation.If your ovarian reserve has already decreased, multiple stimulation cycles may be needed to reach the ideal number of 20 oocytes in storage (90% chance of a child later).“Storage fees” apply from the second year of preservation, also at your expense. A detailed cost estimate will be provided during consultation.Sperm preservationCryopreservation of mature sperm obtained via masturbation has existed for many years and is a “simple” method to preserve male fertility long-term.The most common non-medical reason is vasectomy.You will then have one or more appointments (usually 1 to 3) at the andrology laboratory to collect several samples, which will be stored for 10 years, with the possibility of shortening or extending upon request. Annual storage fees are your responsibility.Depending on the quality and number of samples, artificial insemination or IVF with ICSI may later be considered with your partner. Advice Reverse family planningIt is possible to schedule an appointment at any age with one of our specialized doctors and/or psychologists to receive personalized information on your probable fertility evolution and recommendations for optimal family planning. Focus Fertility evaluation and advice: both women and men can have an assessment of their current fertility and its likely evolution in the coming years. For men, this involves a sperm analysis; for women, Anti-Müllerian Hormone testing and follicle count via gynecological ultrasound. Scientific research Infertility ConsortiumEvaluation of the demand for AGE banking in the Belgian population, contribution of the procedure to birth rates, and reflection on equitable coverage of the process.Dr Catherine HOUBA & Prof Anne DELBAERE Our specialists Erasmus Hospital is a pioneer in oocyte vitrification thanks to numerous internationally recognized research projects conducted by the ULB Research Laboratory and Prof Demeestere.Associated servicesInformation contact:Phone: 02/555 36 89, Monday to Friday, 8:30 – 12:30Email: secmed [dot] fiv [at] hubruxelles [dot] beFor appointments:Phone: 02/555 48 57Gynecology-ObstetricsProf Anne DELBAEREDr Catherine HOUBADr Isabelle DUPONTDr Fabienne DEVREKERDr Serge DELATHOUWERPsychologist team:Chantale LARUELLEIsabelle PLACEDenis WALRAVENS

Invoices are sent to you within 6 to 8 weeks of your visit to the hospital. You may receive additional invoices at a later date. Please do not hesitate to contact the billing department by e-mail at facture [dot] facturation [dot] erasme [at] hubruxelles [dot] be, or by telephone on +32 2 555 36 63 for collections, Monday to Friday, 8:30am to 12.30pm. Payment plan If you are experiencing payment difficulties and wish to avoid having your debt collected by compulsory means, the Erasmus Hospital is likely to grant you payment facilities and will determine the number of monthly payments in consultation with you.If you have any questions or comments about your application, a member of staff will contact you within three working days.  Form Coverage The functions of the "collections" section include:Identifying non-payment of invoices on the due date. Planning the reminder procedure. In cases of non-payment for social reasons, a study into the possibility of granting payment facilities. Where necessary, referral of disputed cases to a lawyer or bailiff. If you have any questions about collections, please contact +32 2 555 37 05 or Recouvrement [dot] Facturation [dot] erasme [at] hubruxelles [dot] be (Recouvrement[dot]Facturation[dot]erasme[at]hubruxelles[dot]be).

Carlos, an intern with the team at the ZELIG Child and Adolescent Psychiatry Center, supports adolescents and young adults through his own recovery journey Interview with Carlos, a peer support intern at the ZELIG Child and Adolescent Psychiatry Center of the Brussels University Hospital (H.U.B). Peer support, still a developing approach in the field of mental health, is gradually becoming a valuable complement to traditional care. From January to April 2025, Carlos completed his internship as a peer support worker at the ZELIG center (Erasme Medical Center). Here, he shares his enriching experience as part of the team. Young patients, as well as their families, often find it reassuring to speak with someone who has gone through similar experiences Carlos Peer support intern at the ZELIG Child and Adolescent Psychiatry Center Peer Support: A Human and Complementary Approach For those unfamiliar with the concept, can you explain what peer support means in mental health care?To me, peer support is a way of sharing one's own lived experience to support people going through a difficult time with their mental health. The idea is to show that recovery is possible and to offer hope by sharing my journey. In this role, personal experience becomes a valuable therapeutic tool.I discovered ZELIG during my mental health training at the "Plateforme Bruxelloise pour la Santé Mentale" (PBSM), where I am currently completing a peer support training program.The first year of the program focuses on developing insight into one’s lived experience. The second year is more practice-oriented, introducing the role of peer support worker and exploring various topics such as psychiatric conditions, ethics, professional conduct, and active listening.The Challenges and Training of Peer Support WorkersWhat are the main challenges peer support workers face in their daily work?One of the biggest challenges is finding the right place within the team. It’s important to value lived experience alongside the theoretical knowledge of healthcare professionals.This requires a kind of inner work — reminding myself that my journey, as a peer support worker, complements academic knowledge. It’s a shift in perspective that has already taken place at ZELIG, where there is real openness to the value of lived experience.Another challenge is understanding the specific terminology used in mental health care and child and adolescent psychiatry. It can be quite complex and full of acronyms.What kind of training or support is available to address these challenges?Peer support training begins with developing your own recovery narrative. Then, as part of my professional development with PBSM, we receive theoretical courses and take part in intervision sessions — group discussions with other peer support workers and trainers, where we reflect on practical difficulties.These intervisions, along with the support from the ZELIG team, help me adapt and gain a better understanding of the specificities of working in child and adolescent psychiatry.Benefits for Patients and Care TeamsIn your view, what impact does peer support have on the care of adolescents and young adults with early psychotic symptoms, particularly in a setting like ZELIG?The presence of a peer support worker at ZELIG brings a more human dimension to the care process. It adds a complementary approach to traditional medical care, creating space for listening and mutual understanding.Young patients — and their families — often feel reassured when they can talk to someone who has been through similar experiences. It builds a sense of trust, which is essential for recovery.How do young people and their families respond to peer support?The feedback is generally very positive. During interviews and psychoeducation sessions, my presence is often requested, especially when it comes to questions about hope and recovery.Families seem to appreciate hearing a personal story. It helps them better understand what their child or loved one is going through.Do you have any stories you'd like to share?One moment that stands out is a conversation I had with a patient’s father. He asked me how I had changed, and what had made a difference in my recovery.I told him that there was a turning point when I realized that getting better would depend on my own willingness to change certain habits in my life.It’s a powerful message — that personal awareness can mark a key shift in the healing process.Peer Support at the Erasme HospitalIs the Brussels health system well prepared to integrate peer support into care pathways? What would you like to see to encourage this approach?ZELIG is one of the pioneering institutions in Belgium to integrate peer support into its therapeutic model.There is a real willingness from both H.U.B. and ZELIG to promote this practice. But more work is needed to raise awareness across all levels of the institution.Creating informal opportunities for dialogue between healthcare professionals and peer support workers could help build mutual understanding and make it easier to integrate peers into care teams.What changes would help strengthen the role of peer support within H.U.B.?It would be essential to establish an official status for peer support workers within healthcare institutions, especially in the H.U.B. network. This would help recognize the role and ensure its long-term sustainability.In addition, continued awareness efforts targeting decision-makers are important — to demonstrate the benefits of this approach beyond simple budget considerations.Peer support adds real value to the care process, especially from a human perspective.The Future of Peer Support in Mental HealthHow do you see the role of peer support evolving in the future?The development of this role will likely be gradual. Peer support is still emerging, but more and more healthcare professionals are beginning to recognize its potential.That said, some may still have reservations — especially around ethical concerns, such as access to patient medical data.This is a long-term process that will require a change in mindset and in institutional practices, but I remain optimistic about the future.How can people get involved or learn more about peer support?There are training programs available through PBSM and other organizations in Belgium. You can also find information online, including on the PBSM website.And the example of ZELIG shows that it’s possible to get involved in a meaningful way.Peer support should not be seen as an added cost, but as an investment in patient well-being and the quality of care.

Our role Gastroenterology is the medico-technical discipline concerned with digestive pathologies, that is, pathologies of the digestive tract - from the mouth to the anus – and the organs and glands situated in the abdomen: liver, pancreas and gall bladder.  Image Although we are separate entities, in practice we form together with digestive surgery and digestive oncology a large medico-surgical department that treats digestive pathologies. Within which our patients often follow integrated care pathways. Our specialities The Erasmus Hospital's Medical Gastroenterology Department spans 7 clinics that correspond to recognised fields of expertise:The Intestinal Diseases Clinic (examples: Crohn's disease,  cœliac disease, ulcerative colitis, auto-immune diseases)  The Digestive Endoscopy Clinic The Liver Disease Clinic that is a reference centre, especially for advanced liver diseasesThe Liver Transplant Clinic that carries out liver transplants The Functional Digestive Pathologies Clinic – pathologies that are the number one reason for consultations in gastroenterology – that proposes, in particular, a digestive comfort consultation for irritable intestine syndrome and gastro-oesophageal reflux, for example   The Pancreatic Diseases and Nutritional Support Clinic that treats non-cancerous pancreatic diseases (e.g. pancreatitis), problems of (mal)nutrition and parenteral feeding, at hospital or at home     The Integrated Obesity Centre. Our team Image Our specialist doctors Focus The Erasmus Hospital Medical Gastroenterology Department is a reference centre – and reputed training centre – for endoscopy, for purposes of diagnosis and treatment.  New procedures at the leading edge of technology are studied here.  Cooperation with the ULB's Polytechnic Faculty has even permitted the development of an endoscope able to carry out partial gastric sleeve surgery. This procedure has shown its effectiveness in weight loss among obesity patients.   Research Thanks to its large "biobank", the Medical Gastroenterology Department works with the ULB's Experimental Gastroenterology Laboratory in pursuing 3 main lines of translational research:  liver diseases and cancerschronic inflammatory bowel diseasespancreatic cancers.A clinical research unit permits access to innovative treatments, notably in oncology, hepatology and inflammatory bowel diseases.   Publications Common genetic variation in alcohol-related hepatocellular carcinoma: a case-control genome-wide association study Authors: Eric Trépo, PhD *, Stefano Caruso, PhD *, Jie Yang, PhD *, Sandrine Imbeaud, PhD, Gabrielle Couchy, PhD, Quentin Bayard, PhDJournal : The Lancet Oncology, Volume 23, Issue 1, January 2022 Endoscopic sutured gastroplasty in addition to lifestyle modification: short-term efficacy in a controlled randomised trial Authors: Vincent Huberty, Ivo Boskoski, Vincenzo Bove, Pauline Van Ouytsel, Guido Costamagna, Marc A Barthet, Jacques DevièreJournal : Gut-Bmj Journal, published October 28, 2020 Collecting New Peak and Intermediate Infliximab Levels to Predict Remission in Inflammatory Bowel Diseases Authors: Claire Liefferinckx, Jérémie Bottieau, Jean-François Toubeau, Debby Thomas, Jean-François Rahier, Edouard Louis, Filip Baert, Pieter Dewin, Lieven Pouillon, Guy Lambrecht, François Vallée, Severine Vermeire, Peter Bossuyt, Denis FranchimontJournal : Inflammatory Bowel Diseases, Volume 28, Issue 2, February 2022, Pages 208–217 Long-term outcomes in patients with decompensated alcohol-related liver disease, steatohepatitis and Maddrey's discriminant function Authors: Delphine Degré, Rudolf E. Stauber, Gaël Englebert, Francesca Sarocchi, Laurine Verset, Florian Rainer, Walter Spindelboeck, Hassane Njimi, Eric Trépo, Thierry Gustot, Carolin Lackner, Pierre Deltenre, Christophe Moreno Journal : Journal of Hepatology, 2020, vol. 72

Our role Genetics is the study of the transmission of hereditary traits. In medicine it involves sequencing, "reading" and characterising the genome, that is, the totality of a person's genetic material (chromosomes and genes).  To learn more about the Genetics Centre, click here. Image Image Image Image Our speciality is transverse and concerns all medical disciplines and all ages of life. At present, our focus is on rare diseases. But in a near future genetics will be used increasingly for more common pathologies. Pr Guillaume Smits Director of the ULB's Human Genetics Centre Our specialities The ULB's Human Genetics Centre is organised in 5 sectors: Preconception genetics aims to determine the risk of transmitting a genetic disease to descendants. In the case of in vitro fertilization (IVF), the preimplantation diagnosis makes it possible to select and implant embryos that do not carry the said disease (examples: cystic fibrosis, spinal muscular atrophy, sickle cell anaemia, etc.)    Prenatal genetics makes it possible to confirm or specify certain pathologies with which a foetus is already infected. Examples: Down syndrome, malformations, intellectual deficiency, etc.  Paediatric genetics: More than 70% of rare diseases are paediatric. Genetics makes it possible to make or refine a diagnosis, to avert the development and/or complications of the disease or to propose a treatment.   Adult genetics: A growing number of medical specialities have increasing recourse to genetic tests when treating certain diseases.   Oncogenetics has two principal fields of action:  Predictive genetics aims to detect and quantify hereditary risks of cancer, in particular within the same family. Example: mutations of BRCA-1 and -2 that predispose women to breast and ovarian cancer.   Pharmacogenetics involves checking whether a patient carries a gene that would respond positively to (cancer) treatment.    Our team Image Our specialist doctors Focus The ULB's Human Genetics Centre analyses samples collected within the  CHORUS network (that brings together the hospitals of the Brussels University Hospital (HUB), the Iris network and the CHIREC group) and the Tivoli and Ambroise Paré University Hospitals with a view to genetic testing. The department cooperates with each of the 7 Belgian genetic centres for certain tests.    Research The ULB's Human Genetics Centre carries out research on what genetic testing of the future could be:  sequencing of the entire genome; methylome sequencing, which can reveal certain rare diseases;   transcriptome analysis to identify what genes use what kind of cell;   very long genome sequences to characterise complex zones and variants in the DNA.  Publications Implementation of fetal clinical exome sequencing: Comparing prospective and retrospective cohorts Authors : M. Marangoni et al.Journal : Genet Med. 2022 Feb;24(2):344-363. doi: 10.1016/j.gim.2021.09.016. Epub 2021 Nov 30. PMID: 34906519  Toward reporting standards for the pathogenicity of variant combinations involved in multilocus/oligogenic diseases Authors : Sofia Papadimitriou et al.Journal : HGG Adv. 2022 Dec 2;4(1):100165. doi: 10.1016/j.xhgg.2022.100165. eCollection 2023 Jan 12. PMID: 36578772  A form of muscular dystrophy associated with pathogenic variants in JAG2 Authors : Sandra Coppens et alJournal : Am J Hum Genet. 2021 May 6;108(5):840-856. doi: 10.1016/j.ajhg.2021.03.020. Epub 2021 Apr 15. PMID: 33861953  Genetic testing in autoinflammatory diseases - past, current and future perspectives Authors : Anouk Le Goueff et al.Journal : Eur J Intern Med. 2022 Dec;106:71-79. doi: 10.1016/j.ejim.2022.08.020. Epub 2022 Sep 22. PMID: 36153184 DOI: 10.1016/j.ejim.2022.08.020