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.

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

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.

View Insurance Information

Publications

Failure of Operative Therapy after Ovarian-Sparing Surgery for Pediatric Benign Ovarian Neoplasms: A Retrospective Review. Knaus, ME; Onwuka, AJ; Abouelseoud, NM; Breech, LL; Brito, KS; Dekonenko, C; Hertweck, SP; Hong, HY; Lawrence, AE; Menon, S; et al. Journal of Pediatric and Adolescent Gynecology. 2022; 35:702-706.

Multi-Institutional Review of the Preoperative Diagnostic Accuracy for Pediatric Ovarian Mature Cystic Teratomas. Knaus, ME; Onwuka, AJ; Afrazi, A; Breech, L; Corkum, KS; Dillon, PA; Ehrlich, PF; Fallat, ME; Fraser, JD; Gadepalli, SK; et al. Journal of Pediatric and Adolescent Gynecology. 2022; 35:478-485.

Laparoscopy versus laparotomy for pediatric ovarian dermoids. Knaus, ME; Onwuka, AJ; Afrazi, A; Breech, L; Corkum, KS; Dillon, PA; Ehrlich, PF; Fallat, ME; Fraser, JD; Gadepalli, SK; et al. Journal of Pediatric Surgery. 2022; 57:1008-1012.

Laparoscopic Oophoropexy with Combined Fixation to Uterosacral Ligament and Pelvic Side Wall in a Prepubertal Girl with Recurrent Ovarian Torsion. Yu, L; Wellenstein, W; Streich-Tilles, T; Breech, L. Journal of Pediatric and Adolescent Gynecology. 2022; 35.

Recommendations for Postoperative Surveillance of Pediatric Benign Ovarian Neoplasms. Knaus, ME; Lawrence, AE; Onwuka, AJ; Abouelseoud, NM; Breech, LL; Brito, KS; Dekonenko, C; Hertweck, SP; Hong, HY; Menon, S; et al. Journal of Pediatric and Adolescent Gynecology. 2021; 34:666-672.

Levonorgestrel Intrauterine Device Use for Medical Indications in Nulliparous Adolescents and Young Adults. Schwartz, BI; Alexander, M; Breech, LL. Journal of Adolescent Health. 2021; 68:357-363.

A View from the past into our collective future: the oncofertility consortium vision statement. Woodruff, TK; Ataman-Millhouse, L; Acharya, KS; Almeida-Santos, T; Anazodo, A; Anderson, RA; Appiah, L; Bader, J; Becktell, K; Brannigan, RE; et al. Journal of Assisted Reproduction and Genetics. 2021; 38:3-15.

Patient Positioning for Operative Laparoscopy in Pediatric and Adolescent Gynecologic Surgery. Ponsky, TA; Hanke, RE; Casar Berazaluce, AM; Breech, LL. Endometriosis in Adolescents. 2020.

XY Gonadal Dysgenesis in a Phenotypic Female Identified by Direct-to-Consumer Genetic Testing. Kim, A; Abell, K; Johnson, J; Cizek, S; Breech, L; Ernst, MM; Hopkin, RJ; Kennedy, K; Stanek, J; Strine, AC; et al. Pediatrics. 2020; 146.

Clinical urologic and urodynamic outcomes in patients with anorectal malformation and absent vagina after vaginal replacement. Ahmed, H; Almomani, M; Strine, AC; Reddy, PP; Sheldon, C; Frischer, J; Breech, L; Minevich, E; Noh, PH; VanderBrink, BA. Journal of Pediatric Surgery. 2020; 55:1834-1838.

From the Blog


Menstrual Suppression in Teens
BlogChild Development and Behavior

Menstrual Suppression in Teens

By Lesley Breech, MD3/17/2021

Defeating Period Problems in Girls with Disabilities
BlogHealthy 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
BlogChild Development and BehaviorChild Development and BehaviorChild Development and Behavior

Puberty in Girls: Conversation Starters for Parents

By Lesley Breech, MD6/19/2017

Patient Ratings and Comments

All patient satisfaction ratings and comments are submitted by actual patients and verified by a leading independent patient satisfaction company, NRC Health. Patient identities are withheld to ensure confidentiality and privacy. Only those providers whose satisfaction surveys are administered through Cincinnati Children’s Hospital Medical Center are displayed. Click here to learn more about our survey