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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)  

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) 

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.

We are pleased to announce that the Brussels University Hospital - Erasmus Hospital centre has obtained full ICARe-HF accreditation, an international distinction recognizing excellence in the management of heart failure. This accreditation was awarded based on the data submitted within the framework of the GRASP-HF 2025-2026 programme, with particular attention to quality-of-care indicators. It reflects the ongoing commitment of our teams to provide care that is rigorous, structured, and aligned with the best international practices.What this means for our healthcare professionals:This recognition highlights the daily work of multidisciplinary teams – physicians, nurses, and allied health professionals – involved in the management of heart failure. It reflects their expertise, coordination, and commitment to a continuous quality improvement approach.What this means for our patients:Patients benefit from an optimized care pathway, based on demanding international standards. This results in improved follow-up, more personalized care, and ultimately better clinical outcomes.What this represents for the hospital:This accreditation strengthens Hôpital Erasme’s position as a reference centre in cardiology, both nationally and internationally. It illustrates our commitment to promoting clinical excellence, innovation, and transparency in the evaluation of medical practice.This recognition is the result of collective work and a sustained commitment to high-quality care. Contact the Heart Failure Clinic

Lupus is an autoimmune disease, which can affect different organs and manifest very differently from one person to another. To better understand this condition, we interviewed Prof. Muhammad Soyfoo, Rheumatologist, and Prof. Frédéric Vandergheynst, Internal Medicine at H.U.B, both specialists in lupus.  Lupus: a disease with highly varied manifestations Lupus is an autoimmune disease. What is an autoimmune disease? Normally, our immune system acts as a shield: it protects us against viruses, bacteria, and other external threats. In an autoimmune disease, this system malfunctions. It can no longer distinguish between what is foreign and what belongs to our body… and starts attacking our own cells. This causes inflammation that can affect one or several organs, such as the skin, joints, or kidneys in the case of lupus. Each autoimmune disease is different, but all are based on the same principle: a defense system that targets the wrong thing. “Each patient is different,” explains Prof. Soyfoo. “Some only have skin involvement, others joint pain, and still others a systemic form affecting multiple organs, with very variable degrees of severity,” he adds. Among the most commonly affected organs are the skin, joints, and kidneys. The severity of the disease is often linked to kidney involvement, which can range from mild urinary abnormalities to rapidly progressive kidney failure requiring dialysis. However, lupus can sometimes present with rarer symptoms, such as neurological disorders, which may delay diagnosis because they are mistakenly interpreted as psychiatric conditions.  Despite this complexity, care is always personalized: “Each patient must be assessed globally and followed by a multidisciplinary team for optimal management,” emphasizes Prof. Vandergheynst.  A diagnosis that can take time The diagnosis of lupus takes on average 3 to 5 years. Yet, as Prof. Vandergheynst points out, the diagnosis itself is not necessarily difficult to establish… provided it is considered.“The main obstacle is thinking about the disease,” he explains. In other words, once lupus is suspected, medical tools generally allow confirmation fairly quickly. These include blood tests, which look for antibodies (proteins produced by the immune system) abnormally directed against the body, and sometimes tissue samples (from the skin or kidneys), analyzed under a microscope to better understand the involvement and choose the most appropriate treatment.  The main obstacles to diagnosing lupus Non-specific symptoms: fatigue, diffuse pain, sensitivity to sunlight, mouth ulcers… common and recurring signs in the general population that do not immediately suggest an autoimmune disease.   A disease that is still insufficiently known: by the general public, but also sometimes by primary care health professionals.  Symptoms that are sometimes minimized: particularly in young women, who are most affected, whose health condition is often attributed to stress or anxiety.   A fragmented view of the disease and its management: because it can affect multiple organs, lupus may be managed by several specialists (rheumatologists, nephrologists, dermatologists, internists, gynecologists) who, if they do not communicate with each other, work in silos and have only a partial view of the disease.  Image The need for coordinated and personalized care At the Brussels University Hospital (H.U.B), lupus care is based on collaboration between several specialists. The entry point varies depending on the symptoms: joint pain, skin rashes, neurological or general symptoms. Then, a multidisciplinary team coordinates to assess organ involvement and propose the most appropriate treatment. “We do not cure lupus, but we can control flares, limit damage, and sometimes achieve prolonged remission,” explains Prof. Soyfoo. Long-term follow-up also includes preventing complications related to treatments, such as the effects of corticosteroids on bones or metabolism, and specific aspects such as pregnancy planning. Image Lupus and pregnancy: a balance to build together Lupus mainly affects young women, often of childbearing age. The question of pregnancy is therefore central… and sometimes difficult to address. Yes, pregnancy is possible with lupus, but it must be carefully planned and closely monitored. What are the risks? When the disease is not well controlled, pregnancy may lead to: Lupus flares: recurrence or worsening of symptoms  Increased risk of preeclampsia: a complication where blood pressure rises and may affect the placenta  Placental problems: the placenta may function less effectively, which can slow the baby’s growth  In about 40% of cases, lupus is associated with antiphospholipid syndrome: the presence of autoantibodies (immune system proteins directed against the body) that increase the risk of recurrent miscarriages or thrombosis (formation of blood clots). Some patients must then take anticoagulants (blood-thinning medications) during pregnancy, requiring close monitoring. Treatments to be adjusted Not all medications used for lupus are compatible with pregnancy. Some are teratogenic: they can cause malformations in the baby. Others may reduce fertility. It is therefore important to plan the pregnancy and adjust treatments in advance. Essential specialized follow-up Coordination between rheumatologists, internists, and obstetricians is crucial to manage treatments safely and ensure a safe pregnancy and delivery for both mother and baby. An intimate decision… sometimes difficult to support Discussing the desire to have a child can be complex. For patients, it can be a source of concern. For doctors, it involves significant responsibility: “We are not here to prevent patients from living their lives. But in some situations, giving our approval — or on the contrary advising against pregnancy — represents an important responsibility,” says Prof. Vandergheynst. In some cases (active disease, severe kidney involvement), pregnancy is strongly discouraged. In others, the decision is more nuanced. The goal is never to punish or make anyone feel guilty, but to enable an informed choice, taking into account risks and the patient’s life plan. Promising advances Treatments for lupus have evolved considerably in recent years. Personalized medicine and biotherapies are opening new perspectives, for example: Hydroxychloroquine: a long-standing, low-cost treatment that effectively reduces the frequency of flares. Targeted biotherapies: medications such as anifrolumab (Saphnelo) or belimumab (Benlysta) act on specific molecules involved in the disease, reducing the use of corticosteroids and improving quality of life. Precision medicine: in the future, treatments could be adapted to the biological profile and molecular expression of each patient, rather than to the disease in general. Personalized medicine is not yet standardized, but it offers great promise with more precise and effective treatments and fewer side effects. Non-invasive biomarkers to monitor kidney involvement could also reduce the need for frequent biopsies.  The impact of lupus on daily life Beyond physical symptoms, lupus profoundly affects daily life. Chronic fatigue, pain, limitations in certain physical activities, and constraints related to sun exposure can be very restrictive. The treatment itself, particularly corticosteroids, can alter physical appearance and affect body image. Lupus also has psychological, social, and professional consequences. Patients may have to reduce their working hours or modify their life plans, including pregnancy planning. Their sexual and emotional life may also be affected by the disease. Listening, therapeutic education, and comprehensive support are essential to help patients cope with these aspects. A complex disease, but one that can be treated Lupus is a complex, variable disease that is often difficult to diagnose. Successful management relies on multidisciplinary care, personalized treatments, and comprehensive patient support. Thanks to recent advances in biotherapies and precision medicine, new perspectives are emerging to improve quality of life and enable everyone to live fully despite the disease.  Interview with our experts Need to contact our specialists? To contact the Rheumatology Department, please send an email to Cons [dot] Rhumato [dot] erasme [at] hubruxelles [dot] beTo contact the Internal Medicine Department, please send an email to Cons [dot] MedIntern [dot] erasme [at] hubruxelles [dot] be

On the occasion of World Parkinson’s Disease Day on April 11, 2026, Dr. Vincent Leclercq, neurologist and specialist in movement disorders at H.U.B, sheds light on the current realities of the disease and the importance of appropriate care. Parkinson’s disease is often mentioned, sometimes feared, but still poorly understood. Tremors, a disease affecting only the elderly… misconceptions are numerous. Yet knowledge and treatments have evolved considerably in recent years.On the occasion of an information day for patients organized this Saturday, April 11, 2026, Dr. Vincent Leclercq, neurologist and specialist in movement disorders at the Movement Disorders Clinic of H.U.B, sheds light on the current realities of the disease and the importance of appropriate care. A disease that does not only affect the elderly Contrary to popular belief, Parkinson’s disease is not only a disease of older people.“It is primarily an adult disease,” explains Dr. Leclercq.On average, the first symptoms appear around the age of fifty. However, early-onset forms exist, sometimes beginning in one’s twenties, as well as diagnoses at 80 or 90 years old.The disease affects both men and women. In Belgium, it concerns approximately 5% of the population, making it a common condition and a real public health issue. Early warning signs Parkinson’s disease is not limited to tremors. Three major so-called “cardinal” symptoms should raise attention:Resting tremor, usually affecting one hand at first, on one side, occurring when the hand is at rest.Bradykinesia (slowness of movement): movements become slower and less precise, handwriting changes, difficulty buttoning a shirt, loss of fine dexterity.Gait disturbances: walking slows down, steps become smaller, the body may lean forward.The disease also includes many non-motor symptoms, often less visible yet highly disabling:Digestive or urinary disordersDifficulty concentratingSlowed thinkingSwallowing disordersThese symptoms are sometimes the main complaint of patients. In case of doubt, referral to a specialized consultation is essential. Image A clinical diagnosis, sometimes made at the first consultation Parkinson’s disease is one of the few neurological diseases whose diagnosis is primarily clinical.It is based on observation of symptoms and neurological examination. Additional tests may be performed in case of doubt but are not systematic. The announcement of the diagnosis is often a shock. “It is a moment that disrupts the patient’s life,” emphasizes Dr. Leclercq.The team ensures that the diagnosis is delivered with sufficient time to answer questions, allow emotional expression, and lay the foundations for reassuring care.An essential message must be heard: it is possible to live autonomously with proper care. Image Care adapted to each stage of the disease In the early stagesTreatment mainly relies on dopatherapy: supplying the brain with the dopamine it lacks.Results can be spectacular:Significant improvement in symptomsPreserved quality of life for several yearsPatients may remain stable for a long time, with follow-up consultations mainly aimed at adjusting treatment.In more advanced stagesAfter 5 to 10 years, medication effectiveness may fluctuate. “On” periods (when treatment works well) alternate with “off” periods.Advanced therapies may then be proposed:Subcutaneous pump delivering continuous dopamine via a small needleDigestive pump administering dopamine directly into the stomach via a tube placed endoscopicallyDeep brain stimulation: a neurosurgical procedure implanting electrodes in deep brain structures, connected to a generator under the skin, similar to a pacemaker. This continuous stimulation compensates for deficient electrical activityThese solutions often allow better stability and significantly improve quality of life. Image An unpredictable progression, but structured support Parkinson’s disease is a neurodegenerative disease.Its progression varies greatly from person to person. Some patients progress very slowly, others more rapidly. To date, it is not possible to precisely predict the rate of progression.Loss of autonomy may occur over time, particularly due to:Gait disordersRisk of fallsSwallowing difficultiesHowever, things have changed.In the past, complications (falls, aspiration, infections) often led to death. Today, thanks to appropriate and multidisciplinary care, people no longer die from Parkinson’s disease when it is properly managed.To preserve autonomy as long as possible and prevent complications, the consultation works closely with:PhysiotherapistsSpeech therapistsOther specialized professionals An information day to understand and exchange “This event is important because the disease remains poorly known and is often confused with other neurodegenerative conditions. Because 30-minute consultations every three months are not enough to cover all aspects of the disease. Because relatives and caregivers do not always have the opportunity to express their questions or difficulties,” explains Dr. Leclercq.The program included:Thematic sessions led by various speakersClear and accessible explanationsMoments for discussion and Q&AA space for open, stigma-free dialoguePromoting expertise and strengthening connectionsBeyond informing patients and the general public, this day also highlights the expertise of the specialized Parkinson’s consultation:An experienced teamA multidisciplinary approachMastery of advanced therapiesHuman and individualized support for patients and their relativesBecause better understanding the disease already helps to live better with it. And because a well-informed and well-supported patient remains an active participant in their care journey. Together, let’s advance the understanding and management of Parkinson’s diseaseFor any questions, you can contact the neurology consultation secretariat by email at secmed [dot] neuro [dot] erasme [at] hubruxelles [dot] be (secmed[dot]neuro[dot]erasme[at]hubruxelles[dot]be)  Discover the Clinic Dr Vincent Leclercq Neurologist and specialist in movement disorders.

June is Infertility Awareness Month. On this occasion, the H.U.B is launching a new campaign and offering a wide range of activities designed to inform and engage both the public and healthcare professionals on the issues surrounding infertility and its treatment. Image Infertility now affects a growing number of people in Belgium, with approximately one in six couples experiencing fertility difficulties during their lifetime. Still often considered a taboo subject, infertility can have a profound emotional, social, and psychological impact. Its causes are varied, affecting both women and men, and in some cases remain unexplained. Despite major medical advances, access to information and support remains unequal. Raising awareness about infertility is essential to break the silence and better support those concerned.For this reason, during Infertility Awareness Month, the experts of the H.U.B Fertility and MAR Clinic are mobilising and offering a series of activities for the public and healthcare professionals. These events will provide an opportunity to learn more about infertility, the diseases that can affect fertility (cancer, endometriosis, PCOS, etc.), the available treatments and care pathways, but above all to share personal journeys and stories, helping those experiencing difficulties conceiving to feel supported and less alone. Image Infertility Awareness Month Programme Thursday, June 11, 2026Information and Awareness BoothThe teams from the H.U.B Fertility and MAR Clinic will welcome you to answer your questions and provide information on all the options available to support people experiencing difficulties conceiving.At the stand, you will find:A space dedicated to family planning journeysInformation about fertility preservationAn educational area on the female cycle and fertilityInformation about male fertilityInformation on preimplantation genetic diagnosis and genetic diseasesA podcast corner featuring patients' testimonials on their fertility journeyInformation about the different types of donorsResources and practical information about the care services available at H.U.BA quiz to test your knowledgeWhere? Main hall of Erasme Hospital, ground floorWhen? June 11th, 2026, from 10:00 a.m. to 4:00 p.m.Free and open to everyone. Image Thursday, June 18, 2026Symposium for Gynaecologists and General PractitionersAs a leading academic hospital, the H.U.B is organising a symposium aimed first at exchanging with gynaecologists on personalised approaches in assisted reproduction, and secondly with general practitioners on the latest developments in first-line infertility care.Date: Thursday, June 18, 2026Schedule for gynaecologists: 2:30 p.m. – 7:30 p.m.Schedule for general practitioners: 6:30 p.m. – 9:30 p.m.Location: Museum of Medicine, Erasme Campus – Place Facultaire, Route de Lennik 808, 1070 Brussels, BelgiumFree event, but registration is mandatory. Accreditation request pending.Registrations close on June 11, 2026, at 5:00 p.m. Programme for gynaecologists Programme for general practitioners Wednesday, June 24, 2026Healthcare Professional–Patient WorkshopsWorkshop 1 – What diet should you adopt to support fertility?Led by Dr Pascale Chasseur, Endocrinologist, and Dr Isabelle Dupond, Gynaecologist.Workshop 2 – How can you experience sexuality during an MAR journey?(Workshop reserved for men)Led by Dr David Pening, Gynaecologist and Andrologist, and Clarisse André Portella, Sexologist.Workshop 3 – What impact does Polycystic Ovary Syndrome (PCOS) have on fertility?Led by Dr Mélodie Vander Borght, Gynaecologist, and Victoria Di Pietrantonio, Gynaecologist specialised in endocrine disorders. Date: Wednesday, June 24, 2026, from 6:00 p.m. to 8:00 p.m.Participation by invitation only.Free registration, but mandatory. Image Wednesday, July 1, 2026INTERACTIVE WEBINARDeciding Without a Magic Wand: Moving Forward Even When You Don’t Feel ReadyHosted by Dr Catherine Houba, Gynaecologist and Director of the H.U.B Fertility and MAR ClinicAre you wondering whether there is such a thing as the “right time” to have a child? This webinar is designed for anyone reflecting on their parenthood journey without certainty or a perfect timeline. Through an open and honest approach, we will challenge common misconceptions about maturity and the ideal moment to become a parent, while distinguishing between what is within your control… and what is not.You will discover practical ways to take action today, at your own pace and according to your personal situation. The goal: to leave feeling informed, reassured, and equipped with a concrete first step towards your own decision.Topics covered include:The impossibility of waiting until you feel “ready”Why the perfect moment does not existThe generational impact of contraceptionThe “myth of maturity”What we can decide, and what we cannot controlRelationships and emotional lifeBiologyCareerFinancial and material conditionsTaking back the power to actMicro-decisionsEgg and sperm preservationSolo parenthood: framework, benefits, and realitiesChoosing not to have children: a legitimate decision that also deserves supportQuestions & AnswersWhen? July 1, 2026, from 6:00 p.m. to 7:15 p.m.Participation in this webinar is free and accessible via this link. With the support of

1. Undertaking of accessibility The HUDERF hospital undertakes to make its website accessible in accordance with the Belgian law of 19 July 2018 transposing European Directive 2016/2102 on the accessibility of the websites and mobile applications of public sector bodies. This accessibility statement applies to the website: https://www.erasme.be/en  2. Compliance status The website is partially compliant with European standard EN 301 549 due to the non-compliances listed hereunder. 3. Non-accessible content The problems identified at the time of automatic audits are the following:3.1 Non-compliances – Colour contrast (WCAG 1.4.3)Numerous text elements present an insufficient colour contrast in regard to the minimum requirements (4.5:1 for normal text, 3:1 for large text). The elements concerned are:Principal navigation links ("About", "News", "Press", "My HUB", "Jobs")Action buttons ("Emergencies”, "My appointments", "Patients and loved ones", "Professional Space")“See all news” link and “All events” link”“Make a donation” linkNews dates  (<time> elements)Subheading text (span) on hero blocks/highlightingLinks to social networks (Facebook, LinkedIn, YouTube)3.2 Non-compliances – Accessible names and labels (WCAG 4.1.2)Several interactive elements do not have a name that is accessible for assistance technologies:Close button (btn--close): no aria-label or text contentMobile menu button (nav--menu-toggle): no accessible name"Overlink" links (a.overlink): links with valid href but without text content or aria-label — 3 occurrences identified by LighthouseAnchor #main-content: presents an id but no href or text3.3 Non-compliances – Parsing / Duplicate identifiers (WCAG 4.1.1)Several id attributes are duplicated on the page. This can disrupt the assistance technologies: id="block-erasme-theme-dropdown-language" — duplicate valueid="block-erasme-donation" — duplicate valueid="block-erasme-rdv" — duplicate value3.4 Non-compliances – Title structure (WCAG 1.3.1)The title hierarchy is not incorporated logically in certain page sections:  An h3 element (h3.highlighting--title) appears without a preceding h2 in  its section,  creating a level skipA paragraph containing text in <strong> ("Erasme") should use a title tag if this content plays the role of section title3.5 Non-compliances – Reflow (WCAG 1.4.10)Certain fixed content or stickies can cause a two dimensional flow when the page is zoomed to 400%:Manage content button (klaro_toggle_dialog): position:fixedHeader sticky (#sticky / .big-header-wrapper): position: fixedOverlay video (.reveal-overlay): position: fixed 4. Drawing up of statement This statement was drawn up on the basis of an automatic evaluation effected on 14 April 2026, with the assistance of the following tools:  Google Lighthouse 13.0.2 (emulation desktop, Chromium 146.0.0.0) – Accessibility score: 88/100HTML_CodeSniffer – Standard WCAG2AA – 33 errors, 40 alertsThis audit constitutes a simplified analysis. It only covers a subset of the EN 301 549 standard criteria and does not provide a basis for declaring the site fully compliant. Only an in-depth audit carried out by an accessibility expert would permit this level of compliance.   5. Contact and reporting If you encounter an accessibility problem on the www.erasme.be website, you can contact the responsible team: Using the contact form available on the website : https://www.erasme.be/en/contact-erasme By post: Hôpital Erasme, Route de Lennik 808, 1070 AnderlechtWe undertake to respond to your request within a reasonable time.  Complaints procedureIf you do not receive a satisfactory response from us you can submit a complaint to the control body designated by the royal decree of 5 September 2019:  SPF Stratégie et Appui (BOSA)Address : boulevard Simon Bolivar 30, bte 1, 1000 BruxellesWebsite : https://bosa.belgium.be/en/complaints Recours auprès du Médiateur fédéralSi la réponse du SPF Stratégie et Appui ne vous satisfait pas non plus, vous pouvez vous adresser au Médiateur fédéral :Médiateur fédéralAdresse : rue de Louvain 48, bte 6, 1000 BruxellesE-mail : contact [at] federalombudsman [dot] be (contact[at]federalombudsman[dot]be) Site web : https://www.mediateurfederal.be/en/homepage   6. Proposed alternatives For any content or functionality of the www.erasme.be website that is not yet accessible, you can contact our team to obtain an accessible alternative:Using the contact form: https://www.erasme.be/en/contact-erasme By post: Hôpital Erasme, Route de Lennik 808, 1070 AnderlechtWe undertake to provide you with information in an accessible format and within a reasonable time.  The content in question that does not yet comply is:  Navigation elements with insufficient colour contrastLink buttons with no accessible nameSections with incorrect title hierarchy 7. Improvement plan The non-compliances identified at the time of the audit of 14 April 2026 shall be subject to progressive corrections. The improvements foreseen concern in particular:The correction of insufficient contrast ratios on navigation elements, action buttons, dates and linksThe addition of accessible names (aria-label) on buttons and links without perceptible textThe deletion of duplicate id attributes in the source codeThe correction of the title hierarchyThe review of fixed content to avoid a two dimensional flow when making a major zoom.  These corrections will be implemented at the time of upcoming site developments.   8. Statement updating This statement will be updated no later than at the time of the next significant website revision or at the time of a new accessibility audit.  Last updated on: 14 April 2026.

The Fertility and Medical Assisted Reproduction (MAR) Clinic of the H.U.B invites you on June 18, 2026 to a symposium dedicated to current perspectives in fertility care Image On the occasion of Infertility Month, the Fertility and MAR Clinic of the H.U.B is running a communication campaign throughout the month of June entitled "Your Fertility, Your Story".As part of this campaign, numerous activities are being organized to raise awareness and inform the public and healthcare professionals about the challenges of infertility and its management. Program 2:30 PM – Welcome & coffeeInformal networking moments with the Erasmus MAR Center team.3:00 – 3:10 PM – Personalizing patient intake: Mindoo, AI supporting the MAR pathway How an AI agent improves information, reduces anxiety, and facilitates access to care.Presentation and Q&A with Dr Catherine HoubaDirector of the Fertility Clinic of the H.U.B3:20 – 3:40 PM – AMH: How to explain it simply and effectively to patientsInterpretation, limitations, key messages, and pitfalls to avoid in first-line consultation.Presentation and Q&A with Prof Anne DelbaereHead of the H.U.B epartment of Obstetrics and Gynecology 3:50 – 4:10 PM – Endometriosis & fertility: what to tell patients, when to refer?Actual impact on fertility, indications for specialized care, optimal timing.Presentation and Q&A with Dr Agathe RabattuGynaecologist at the Fertility and Endometriosis Clinics of the H.U.B4:20 – 4:40 PM – Embryo selection by PGT-A: indications, limitations, and controversiesA clear update to guide discussions with patients.Presentation and Q&A with Dr Isabelle DupondGynaecologist at the Fertility Clinic of the H.U.B4:50 – 5:10 PM – IVF: how to reduce side effects and improve patient experienceNew strategies, better tolerated protocols, personalization of stimulation.Presentation and Q&A with Prof Fabienne DevrekerGynaecologist at the Fertility Clinic of the H.U.B5:20 – 5:40 PM – Late motherhood: what options can be offered today?Fertility preservation, alternatives, management of pregnancies after age 38.Presentation and Q&A with Dr Soraya AmirgholamiGynaecologist at the Fertility Clinic of the H.U.B6:30 – 7:30 PM – Dinner cocktail Registration Practical information Date: Thursday, June 18, 2026, from 2.30pm to 7.30pmLocation: Museum of Medicine, Erasme Campus – Place Facultaire, Route de Lennik 808, 1070 Brussels, Belgium. AccessFree event, but registration is mandatory – Accreditation request in progress.This is an in-person event; no remote participation will be available.Registration closes on June 11, 2026 at 5:00 PM. Our speakers Dr. Catherine Houba Director of the H.U.B Medical Assisted Reproduction (MAR) Clinic since March 2024, specializing in the management of infertility. Her clinical and scientific work focuses on ovarian insufficiency and its therapeutic options, particularly oocyte donation. Dr. Houba has a particular interest in the medical, ethical, and human aspects of this care. Her work also includes fertility preservation. She favors a multidisciplinary and personalized approach based on evidence-based medicine. Anne Delbaere is an obstetrician-gynecologist specializing in reproductive endocrinology and assisted reproductive technology. She directed the Fertility Clinic of Erasmus Hospital from 2002 to 2024. Since 2020, she has been Head of the Department of Obstetrics and Gynecology at the Brussels University Hospital (H.U.B), covering the Erasmus Hospital and the Jules Bordet Institute sites. She is a professor of gynecology and a clinical supervisor at ULB. Dr. Agathe Rabattu A physician working in a fertility clinic since 2024, she supports intended parents in their desire to have a child by offering a personalized approach centered on their family project. Her work includes a comprehensive fertility assessment and the implementation of tailored strategies to optimize the chances of conception. She places particular importance on listening, providing clear information, and supporting patients throughout the development of their parental plans. She is also developing specific expertise in fertility preservation, particularly for patients with endometriosis, in order to anticipate the impact of the disease on reproductive potential and to offer solutions adapted to their life plans. Pr. Fabienne Devreker Specialist physician in fertility medicine and support for reproductive care pathways. Prof. Devreker is dedicated to supporting patients in their parenthood journey, using a personalised and innovative medical approach. Her expertise includes the management of complex infertility cases, the use of gamete donation, as well as advanced techniques such as Preimplantation Genetic Diagnosis (PGD), in order to offer solutions tailored to the specific needs of each individual or couple. She also pays particular attention to inclusivity in her practice, developing specific expertise in the care of transgender individuals. Her approach is based on attentive listening, scientific rigor, and the adaptation of protocols to ensure optimal care, in line with each patient’s values and expectations. Image Dr. Isabelle Dupond Graduated in Obstetrics and Gynecology in 2006, Dr. Dupond has been working at the Erasmus Fertility Clinic ever since, first as a resident and then as a consultant. She divides her professional activity into two main areas: private practice in obstetrics and gynecology, and fertility care at Erasmus Hospital, with a particular focus on preimplantation genetic diagnosis and social ovocyte cryopreservation. Dr. Soraya Amirgholami Resident at the Fertility Clinic since 2021, I specialize in the overall management of infertility, with a particular focus on oocyte donation, for which I am part of the medical coordination team. My scientific work focuses on strategies to improve success rates in oocyte donation cycles, as well as the implementation of more “patient-friendly” frozen embryo transfer protocols. In the era of AI and social media, I am particularly interested in the social, ethical, and human challenges surrounding our medical practices. With the support of

The Fertility and Medical Assisted Reproduction (MAR) Clinic of the H.U.B invites you on June 18, 2026 to a symposium dedicated to current perspectives in fertility care Image On the occasion of Infertility Month, the Fertility and MAR Clinic of the H.U.B is running a communication campaign throughout the month of June entitled "Your Fertility, Your Story".As part of this campaign, numerous activities are being organized to raise awareness and inform the public and healthcare professionals about the challenges of infertility and its management. Program 6:30 – 7:30 PM – Dinner cocktail7:30 – 8:00 PM – What assessment for an infertile couple?Presented by Dr Noémie VancoppenolleGynaecologist at the Fertility Clinic of the H.U.B8:00 – 8:15 PM – What is the role of imaging in this assessment?Presented by Dr Noé MoutardGynaecologist at the Fertility Clinic of the H.U.B8:15 – 8:30 PM – Questions & discussion with speakers8:30 – 9:00 PM – Endocrine disruptors and fertility: how to address the topic in preconception care?Presented by Dr Jean-François SimonGynaecologist at the Fertility Clinic of the H.U.B9:00 – 9:30 PM – Male sexual disorders in MAR: what management?Presented by Dr David PeningGynaecologist at the Fertility Clinic of the H.U.B Registration Practical information Date: Thursday, June 18, 2026Location: Museum of Medicine, Erasme Campus – Place Facultaire, Route de Lennik 808, 1070 Brussels, Belgium. AccessFree event, but registration is mandatory – Accreditation request in progress.This is an in-person event; no remote participation will be available.Registration closes on June 11, 2026 at 5:00 PM. Our speakers Image Dr. Noémie Vancoppenolle Specialist physician in gynecology, trained at ULB, I received in-depth, diverse, and rigorous training across three major hospital institutions in Brussels. I currently work in fertility at Erasmus Hospital, where I support patients through their assisted reproductive journeys, including within the gamete donation team. Young, dynamic, and motivated, my approach is both rigorous, personalized, and caring for each patient. Image Dr. Noé Moutard Obstetrician-gynecologist, trained in Paris and Brussels, Dr Noé Moutard specializes in assisted reproductive technology. He has been affiliated with the fertility clinic at Erasmus Hospital since 2017. He holds an interuniversity diploma in assisted reproduction and operative hysteroscopy. He works closely with the endometriosis clinic and offers care pathways for infertile patients with gynecological surgical conditions. Image Dr. David Pening David Pening graduated as a Medical Doctor in 2013 and in Obstetrics and Gynaecology in 2018 from Université Libre de Bruxelles. In the field of ART, he did training in Fertility at Brussels IVF. His clinical and research interests are in Andrology, as he graduated in Andrology from Université de Lille in 2021 and does his PhD on sperm capacitation at ULB. He obtained an Executive Master in Management of Healthcare Institutions from Solvay Brussels School of Economics and Management in 2025. He is currently PHU at H.U.B Erasmus Hospital and since 2026, honored to be President of the Belgian Society for Reproductive Medicine (BSRM). With the support of

On this World Obesity Day, Professor Jean-Charles Preiser, from the Department of Internal Medicine and expert within the team of the Integrated Obesity Centre at H.U.B, explains the new approaches to managing this chronic disease. Prevention, Comprehensive Assessment and a Tailored Approach At the Integrated Obesity Centre of H.U.B, Professor Jean-Charles Preiser from the Department of Internal Medicine sees patients with very different profiles. Some come because of high blood pressure, others for poorly controlled diabetes, joint pain, or sleep disorders. And then there are those who simply walk in and say, “Doctor, I have a problem with my weight.”“My role,” he explains, “is first to have a global vision. Obesity does not affect just one organ. It can involve the heart, the liver, the joints, the metabolism, and sleep.”Behind the word “obesity” there is often a silent accumulation of complications: diabetes, hypertension, sleep apnoea, fatty liver disease, certain cancers. Sometimes already present. Sometimes still invisible.An assessment to understand, not to judgeThe first step is not treatment, but assessment. Blood tests to detect sometimes asymptomatic diabetes. Blood pressure measurement. Sleep evaluation. Screening for liver damage, sometimes completely silent.“We systematically investigate potential complications. Not to make the file heavier, but to guide treatment,” emphasises Professor Preiser.Today, management has evolved. The options are numerous: structured dietary support; psychological support (particularly in cases of eating disorders); drug treatments; and even bariatric surgery for the most severe cases.“A few years ago, surgery represented a significant share of referrals. Today, drug treatments occupy an increasing place. About one patient out of two benefits from them. Surgery concerns a minority of cases, around 20%,” says Professor Preiser.New generations of medications, notably incretin analogues (GLP-1, GIP), have changed the therapeutic landscape. They are part of the current arsenal, with significant results in many patients. But they are neither automatic nor universal. Their cost remains high and reimbursement is limited to certain situations, particularly in cases of poorly controlled diabetes.“There is no single treatment. There is a strategy tailored to each patient,” he insists.“It’s all because of your weight”: moving beyond shortcutsMany patients arrive with a sense of exhaustion: after hearing consultation after consultation that all their symptoms are related to their weight.Dr Preiser nuances this: “Yes, obesity increases the risk of many complications. But the probability of developing a disease is not strictly proportional to the degree of obesity.”Some people living with severe obesity for years present few complications. Others, with more moderate obesity, develop early metabolic or cardiovascular problems.Why? Genetic background plays a major role. Family history — heart attack, stroke, liver disease, diabetes — guides the level of risk. The association with other factors, such as alcohol consumption or smoking, also changes the picture.The message is clear: obesity is an important risk factor, but it does not explain everything. Each situation deserves individual analysis.A new definition: looking at fat mass, not only weightSince 2025, the definition of obesity has evolved: it is no longer only total body weight that matters, but the proportion of fat mass.“The objective is not to make patients lose muscle or water. What we aim for is a reduction in fat mass while preserving muscle mass,” Professor Preiser reminds us.This approach is particularly important in geriatrics, where muscle loss can worsen frailty and increase the risk of falls. Hence the importance of sufficient protein intake and adapted physical activity, even during drug treatment.Men and women: different risksComplications are not identical depending on sex. In women, obesity can lead to fertility disorders or polycystic ovary syndrome. After menopause, the risk of breast cancer increases in cases of obesity. Knee pain is also more frequent.In men, there is a greater accumulation of cardiovascular risk factors and a higher frequency of certain digestive cancers and prostate cancer.In both cases, screening remains essential. Treating obesity after cancer, for example, can help reduce the risk of recurrence.Increasingly younger patientsThe most striking evolution in recent years concerns the age of patients.“Obesity is increasing among children and adolescents, often against a background of socio-economic and cultural factors. Sedentary lifestyles, accentuated by the COVID period, have played a role. Many obese young people become obese adults,” laments Professor Preiser.Some consult spontaneously, with a desire to understand and act early.Other situations are emerging: women undergoing medically assisted reproduction, where obesity management and fertility treatment occur in parallel. After childbirth, priority may shift to the newborn, pushing maternal health into the background. “These are human realities that must be integrated into care,” the geriatrician points out.The sensitive issue of relapseObesity is a chronic disease. Like any chronic disease, it can lead to relapse.After surgery, very rapid weight loss can lead to deficiencies or malabsorption problems, and weight regain may occur. With dieting alone, the “yo-yo effect” remains the typical failure when recommendations are not adapted to lifestyle or when an eating disorder is not addressed.Regarding recent medications, long-term data are still limited. Doses are adjusted progressively according to individual response and side effects. Discontinuation must be gradual, accompanied by increased physical activity and sufficient protein intake to preserve muscle mass. Strategies can be combined: drug treatment before or after surgery, reintroduction in case of weight regain.“The key is continuity of follow-up,” insists Professor Preiser.Changing the way we look at obesity and its managementSome patients arrive with a clear idea: “I want surgery” or “I want this new medication.” Sometimes they leave with a different proposal after a full assessment.“Our role is to explain that several options exist and that the choice depends on the overall medical evaluation,” Professor Preiser recalls.Obesity is not just a number on a scale. Nor is it a personal failure. It is a chronic, multifactorial disease, influenced by genetics, environment, lifestyle, and social context.Treating it is not only about losing weight. It is about preventing complications, preserving quality of life, rebuilding self-esteem, overcoming emotional wounds and destructive habits and, in the most severe cases, maintaining autonomy.For those living with obesity — or supporting a loved one affected by obesity — the message may be this: solutions exist. They are multiple, personalised, and evolving. And above all, they are built together with the patient, step by step, throughout their care pathway and life journey.Multidisciplinary team-based careAt H.U.B, care is multidisciplinary: internists, endocrinologists, dietitians, psychologists, gastroenterologists, hepatologists, cardiologists, and sleep specialists. This network organisation prevents patients from facing a complex disease alone. Contact the Obesity Centre Pr. Jean-Charles Preiser Also read: The role of dietetics in the multidisciplinary management of obesityIngrid Hanson, a dietitian accredited by the Federal Public Service for Public Health at the Integrated Obesity Center of H.U.B., explains the delicate issue of nutrition for patients who wish or need to lose weight. Discover the interview. 

On the occasion of World Obesity Day, Ingrid Hanson, a dietitian accredited by the Federal Public Service for Public Health at the Integrated Obesity Center of H.U.B., explains the delicate issue of nutrition for patients who wish or need to lose weight. A personalized and Sustainable Care What is the role of a dietitian in the management of a patient with obesity? How does this differ from that of a nutritionist?The Integrated Obesity Center supports patients who are overweight or living with obesity in their weight loss journey, whether through lifestyle modifications alone or with the help of medication or surgical techniques.My role within the team is to support patients in these three approaches throughout the entire proposed program, aiming for comprehensive and sustainable care.This includes assessing their eating habits, implementing personalized nutritional follow-up adapted to their treatment, providing therapeutic education, and offering motivational support. I work closely with the multidisciplinary team (surgeons, endocrinologists, gastroenterologists, internist, physician nutritionist, and psychologists) to offer a complete and situation-specific approach.To answer your question regarding the approach of nutritionists, it is important to clarify that the term “nutritionist” is not legally protected in Belgium.At the CIO, we are 4 dietitians and we also collaborate with a general practitioner who is a nutritionist. This is important to specify because the term “nutritionist” does not carry much meaning, as it is not protected in Belgium, unlike the title “dietitian.” The title of Dietitian is legally protected and defined by the Royal Decree of February 19, 1997. In addition, accreditation granted by the Federal Public Service for Public Health is mandatory to demonstrate that dietitians meet the required standards to practice (education, internships, continuing professional development, compliance with professional regulations) and to guarantee patients a professional, high-quality service.The physician nutritionist (or holder of the interuniversity certificate in clinical nutrition) has a complementary approach to that of dietitians.At the Integrated Obesity Center, the physician nutritionist mainly addresses the medical and metabolic aspects: making diagnoses and prescribing tests and medical treatments.As a dietitian, I specialize in daily nutritional and micronutritional support. The era of rigid meal plans is over! Our support is designed to be practical, personalized, and applicable to everyday life. This is even more relevant with the arrival of new drug treatments, which require regular monitoring of muscle mass, protein intake, and vitamin and mineral intake.Our goal is to support all patients engaged in weight loss over the long term, help them gradually modify their eating behaviors through concrete and realistic objectives, limit the risk of nutritional deficiencies, overcome barriers, and build a more peaceful relationship with food.How do you adapt dietary advice to different patient profiles?Each patient is unique, which is why adaptation is central to our work. Our patients follow different care pathways and may benefit from medication, an intragastric balloon, or surgery to support weight loss. Management is progressively tailored on a case-by-case basis, including possible texture adaptations, adjustments in portion sizes, and advice to relieve treatment side effects.To personalize care, I consider age, sex, family and social context, eating habits and preferences, level of physical activity, and any associated medical conditions.For adults followed at the CIO, support focuses on daily organization (meal timing, help with menu planning, portion sizes, incorporating moments of physical activity), managing meals at work, understanding hunger and satiety signals, and ensuring long-term sustainability of changes.Advice may also vary according to sex, particularly to account for hormonal differences, life stages such as menopause, and specific individual issues.For patients with comorbidities such as diabetes, hypertension, or metabolic disorders, I work closely with the medical team to provide targeted, safe, and personalized nutritional recommendations.The objective always remains the same: within the framework of a chronic disease, where the risk of relapse is real regardless of the treatment implemented, to propose adapted, realistic nutrition compatible with daily life in order to promote sustainable changes and improve quality of life.What are the most common dietary obstacles you observe among your patients and how do you help them overcome them?Obesity is recognized as a multifactorial disease linked to overall lifestyle. Dietary obstacles are often multiple and intertwined.On an emotional level, many patients exhibit eating behaviors influenced by stress, fatigue, anxiety, or negative emotions. Collaboration with psychologists is essential here. Our role is to help patients better identify their emotional triggers, for example through a food diary, and to develop alternative strategies.On a social level, professional constraints, irregular schedules, meals eaten on the go, lack of time to cook, and social pressure play a significant role. I support patients by working with them to find practical, realistic solutions adapted to their lifestyle to facilitate daily meal organization.Economic factors are also decisive. Some patients have limited food budgets, which may hinder access to food perceived as healthier. I analyze with them the products they commonly purchase and the stores they frequent to identify healthier yet equally affordable alternatives. I also adapt menus and meal preparation techniques accordingly.Regarding differences between men and women, women seem more often confronted with mental load, emotional management, and guilt related to food, whereas men more frequently face barriers related to large portions, alcohol consumption, or eating out. Due to family organization, many women also appear to have more difficulty establishing regular physical activity.These are, of course, general trends, and each situation remains unique. In all cases, the support aims to identify and gradually overcome these obstacles through a compassionate approach, building concrete, personalized, and sustainable solutions with each patient.Why is weight stabilization often more difficult than initial weight loss?We must never forget that obesity is a chronic disease of adipose tissue. Losing weight is often easier than maintaining it, because the body naturally resists weight loss and seeks to return to its initial balance. This applies to all treatments: lifestyle changes, intragastric balloon placement, medication, and surgery.Stabilization therefore requires long-term support and continuous adaptation. Above all, what matters is preventing health problems related to excess weight, even if many patients will have to grieve the idea of their ideal weight.What misconceptions about nutrition and obesity would you like to dispel among the general public?One only has to read the many malicious comments on social media: obesity is still perceived as a weakness, a lack of willpower. With the arrival of new drug treatments for obesity, I have the impression that this hostility is increasing: people are made to feel guilty, led to believe they are “stealing” medication from diabetics, or that they are seeking an easy solution.In reality, obesity is a chronic, complex, and multifactorial disease influenced by genetic, hormonal, psychological, social, and environmental factors. Reducing it to a statement such as “you just need to move more and eat less” is not only degrading but also medically incorrect.Another misconception is that following a strict diet, receiving injectable treatments, or undergoing surgery would be enough to solve the problem permanently. Since it is a chronic disease, one never truly recovers from it, and any weight loss induced by restrictive techniques will lead to yo-yo effects, frustration, guilt, and, in the long term, weight regain.For this reason, we always prioritize establishing the most balanced and sustainable daily eating habits possible, even if the theoretical ideal weight is not reached. The primary goal is to achieve an overall improvement in health, well-being, and quality of life. Contactez le Centre Intégré de l'Obésité Also read: Treating Obesity in 2026Professor Jean-Charles Preiser, from the Department of Internal Medicine and expert within the team of the Integrated Obesity Centre at H.U.B, explains the new approaches to managing this chronic disease. Read more Ingrid Hantson Dietitian accredited by the Federal Public Service for Public Health at the Integrated Obesity Center of H.U.B.