A photo of Lesley Breech.

Lesley L. Breech, MD


  • Division Director, Division of Pediatric and Adolescent Gynecology
  • Professor, UC Department of Surgery
  • UC Department of Obstetrics and Gynecology
I enjoy caring for and empowering girls. My work focuses on optimizing their quality of life and improving their reproductive and fertility outcomes.
Lesley L. Breech, MD

About

Biography

As a pediatric gynecologist, I have a special interest in the health of girls and young women. I specialize in pediatric and adolescent gynecology, congenital reproductive abnormalities and pelvic surgical reconstruction. I care for patients with bleeding disorders, polycystic ovarian syndrome, endometriosis and other gynecologic concerns.

I enjoy caring for and empowering girls. My work focuses on optimizing their quality of life and improving their reproductive and fertility outcomes. My approach involves treating patients and families the way I would want my kids and family to be treated. I cherish the long-term relationships I have with patients and families.

In my practice, I prioritize education as an integral part of care. Patients and families who understand the risks and benefits of healthcare are more inclined to actively participate in developing the plan of care. Our team is dedicated and knowledgeable, and they are strong partners in the care of girls and young women. We share mutual goals and respect, and we aim for the very best outcomes for our patients.

In my research, I am trying to gain a better appreciation for the long-term outcomes of the care we provide for infants, girls and teenagers — especially those relating to reproductive outcomes.

When I have free time, I love to travel, spend time with my family and run for stress relief. I look for the positive in every day!

MD: Ohio State University Columbus, OH, 1994.

Residency: Ob / Gyn, Washington University, St Louis, MO, 1998.

Fellowship: Pediatric & Adolescent Gynecology, Washington University, St Louis Children's Hospital, St Louis, MO, 2000.

Certification: American Board of Obstetrics and Gynecology, 2000.

Interests

Female genital anomalies; young women with bleeding disorders; reproductive outcomes after treatment for cancer

Services and Specialties

Colorectal Disorders, Fanconi Anemia, Adolescent Medicine, Differences of Sex Development, Gynecology, Fertility Preservation, Brain Tumor, Leukemia

Interests

Outcomes after surgical treatment of genital anomalies; management of young women with bleeding disorders

Research Areas

Gynecology

Insurance Information

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Publications

78. Management of Asynchronous, Recurrent, Bilateral Pre-Menarchal Ovarian Torsion. Tulchinskaya, V; Morrison, A; Breech, L. Journal of Pediatric and Adolescent Gynecology. 2024; 37:274-275.

121. Staged Vaginal Reconstruction for Distal Vaginal Atresia with Interval Buccal Graft Vaginoplasty followed by Anastomosis to Native Upper Vagina: A Novel Surgical Approach. Wassmer, T; Tulchinskaya, V; Morrison, A; Garrison, A; Breech, L. Journal of Pediatric and Adolescent Gynecology. 2024; 37:298.

17. Assessment of Müllerian Patency in Patients with Cloacal Anomaly: Outcomes, Reliability and Risks. Tulchinskaya, V; Wassmer, T; Morrison, A; Carmody, T; Frischer, J; Breech, L. Journal of Pediatric and Adolescent Gynecology. 2024; 37:230.

55. Feasibility of Rapid, Free-Breathing Non-Contrast MRI for Evaluation of Gynecologic Pathologies in the Pediatric Emergency Department (ED). Wassmer, T; Ayyala, R; Epstein, K; Breech, L. Journal of Pediatric and Adolescent Gynecology. 2024; 37:262-263.

Diagnostic Performance of Magnetic Resonance Imaging for Pediatric Ovarian Neoplasms: A Multi-Institutional Review. Bergus, KC; Knaus, ME; Onwuka, AJ; Afrazi, A; Breech, L; Corkum, KS; Dillon, PA; Ehrlich, PF; Fallat, ME; Fraser, JD; Aldrink, JH; Hewitt, GD; Minneci, PC; Deans, KJ. Journal of Pediatric and Adolescent Gynecology. 2024; 37:192-197.

Sexual and Reproductive Health Concerns in Adults With Cloacal Anomalies: A Qualitative Study. Yu, LX; McGowan, M; Bendle, K; Mullins, C; Streich-Tilles, T; Breech, LL. Journal of Pediatric Surgery. 2023; 58:2300-2307.

Reducing Unnecessary Oophorectomies for Benign Ovarian Neoplasms in Pediatric Patients. Minneci, PC; Bergus, KC; Lutz, C; Aldrink, J; Bence, C; Breech, L; Dillon, PA; Downard, C; Ehrlich, PF; Fallat, M; Sato, TT; St Peter, SD; Cooper, J; Deans, K. Journal of the American Medical Association. 2023; 330:1247-1254.

Reduced-intensity conditioning mitigates risk for primary ovarian insufficiency but does not decrease risk for infertility in pediatric and young adult survivors of hematopoietic stem cell transplantation. JD, B; H, OT; J, B; JC, H; P, B; SM, D; MS, G; S, J; C, P; K, B; SR, R; H, H; P, K; KC, M. 2023.

Abnormal Uterine Bleeding during Pubertal Induction with Transdermal Estrogen in Individuals with Turner Syndrome. Shim, S; Streich-Tilles, T; Gutmark-Little, I; Yao, M; Shafer, J; Breech, L; Casnellie, L; Backeljauw, P. Journal of Pediatric and Adolescent Gynecology. 2023; 36:358-362.

17. A retrospective review characterizing surgical and medical management of 10 patients with complex obstructive Müllerian anomalies. Katlaps, I; Caughey, AB; Roth, LP; Breech, LL. Journal of Pediatric and Adolescent Gynecology. 2023; 36:180-181.

From the Blog

Menstrual Suppression in Teens
Blog Child Development and Behavior

Menstrual Suppression in Teens

By Lesley Breech, MD3/17/2021

Defeating Period Problems in Girls with Disabilities
Blog Healthy Living

Defeating Period Problems in Girls with Disabilities

By Lesley Breech, MD1/8/2021

COVID-19 School Study in JAMA Tops Most-Shared Findings From July 2020
Infectious Diseases and Vaccines

COVID-19 School Study in JAMA Tops Most-Shared Findings From July 2020

Lesley L. Breech, MD, Katherine A. Auger, MD, MSc ...8/11/2020

Ovarian tissue cryopreservation
Cancer

Ovarian tissue cryopreservation

Lesley L. Breech, MD, Ken Tegtmeyer, MD ...7/3/2019

Puberty in Girls: Conversation Starters for Parents
Blog Child Development and BehaviorChild Development and BehaviorChild Development and Behavior

Puberty in Girls: Conversation Starters for Parents

By Lesley Breech, MD6/19/2017

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