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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 and Adolescent Gynecology, Washington University, St Louis Children's Hospital, St Louis, MO, 2000

Certifications: American Board of Obstetrics and Gynecology, 2000

Interests

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

Interests

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

Insurance Information

Cincinnati Children's strives to accept a wide variety of health plans. Please contact your health insurance carrier to verify coverage for your specific benefit plan.

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Publications

Long-term obstetric and gynecologic care for patients with anorectal malformations. Yu, LX; Mayhew, AC; Ahmad, H; Badillo, A; Breech, L; Chan, SH; Childress, K; Durham, MM; Fei, YF; Gayer, C; Rollins, MD; Sumida, MF; Velazco, CS; Cizek, SM. Journal of Pediatric Surgery. 2026; 163294.

Post-pubertal Gynecologic Evaluation and Management of Patients with Anorectal Malformations. Mccracken, K; Ahmad, H; Badillo, A; Breech, L; Chan, SH; Childress, K; Cizek, SM; Durham, MM; Fei, YF; Gayer, C; Sumida, MF; Velazco, CS; Yu, LX; Mayhew, AC. Journal of Pediatric Surgery. 2026; 163293.

Gynecologic care in patients with anorectal malformations: A primer and call to action. Childress, K; Ahmad, H; Badillo, A; Breech, L; Chan, SH; Cizek, SM; Durham, MM; Fei, YF; Gayer, C; Hernandez, A; Sumida, MF; Velazco, CS; Yu, LX; Mayhew, AC. Journal of Pediatric Surgery. 2026; 163287.

Pre-pubertal gynecologic evaluation and management of patients with anorectal malformations. Fei, YF; Mayhew, AC; Ahmad, H; Badillo, A; Breech, L; Chan, SH; Childress, K; Cizek, SM; Durham, MM; Gayer, C; Sumida, MF; Velazco, CS; Yu, LX; Lawson, A. Journal of Pediatric Surgery. 2026; 163292.

Methods of gynecologic evaluation for patients with anorectal malformations. Sumida, MF; Mayhew, AC; Ahmad, H; Badillo, A; Breech, L; Chan, SH; Childress, K; Cizek, SM; Durham, MM; Fei, YF; Rollins, MD; Velazco, CS; Yu, LX; Kebodeaux, CA. Journal of Pediatric Surgery. 2026; 163291.

From X to Y and everything in between: navigating care for patients with 45,X/46,XY mosaicism. Johnson, J; Roberge, S; Hagood, B; Strine, A; Gutmark-Little, I; Pennesi, C; Hopkin, R; Breech, L; Schafer-Kalkhoff, T; Antommaria,, A; Rutter, M. Endocrine Abstracts. 2026.

Vaginal Reconstruction Using Urinary Bladder Tissue in a Patient with OEIS Complex: A Case Report. Winograd, DR; Wassmer, TL; Daugherty, MR; Breech, LL. Journal of Pediatric and Adolescent Gynecology. 2026; 39(3):457-459.

1. Laparoscopic Resection of an Accessory Cavitary Uterine Mass. Winograd, DR; Wassmer, T; Breech, L. Journal of Pediatric and Adolescent Gynecology. 2026; 39(2):359.

89. A Multi-Institutional Review of AYA Patients with Endometriosis Undergoing Second Laparoscopy: Intraoperative Findings and Patient Symptoms at One and Two Years. Evans, J; Bergus, K; Breech, L; Gong, J; Hertweck, P; Hoefgen, H; Lawson, A; Pradhan, S; Smith, Y; Hewitt, G. Journal of Pediatric and Adolescent Gynecology. 2026; 39(2):296.

218. Pneumovaginal Resection of Vaginal Septa in Pediatric and Adolescent Gynecology: A Case Series. Wassmer, T; Winograd, D; Hare, K; Childress, K; Breech, L. Journal of Pediatric and Adolescent Gynecology. 2026; 39(2):340.

From the Blog

All About Periods
Blog Healthy Living

All About Periods

Lesley L. Breech, MD4/7/2026

Puberty in Girls: Conversation Starters for Parents
Blog Learning and Growing

Puberty in Girls: Conversation Starters for Parents

Lesley L. Breech, MD1/21/2025

Podcast | Period Pointers: Guide to Menstrual Hygiene
Podcast The Young & Healthy Podcast

Podcast | Period Pointers: Guide to Menstrual Hygiene

Lesley L. Breech, MD5/24/2024

Shared Algorithm Supports Ovary-Sparing Surgery
Research Annual Report 2024

Shared Algorithm Supports Ovary-Sparing Surgery

Lesley L. Breech, MD, Beth Rymeski, DO10/3/2023

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

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