Lesley L. Breech, MD
- Division Director, Division of Pediatric and Adolescent Gynecology
- Professor, UC Department of Surgery
- UC Department of Obstetrics and Gynecology
- gynecology@cchmc.org
- Board Certified
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
Research Areas
Locations (4)
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.
Publications
From X to Y and everything in between: navigating care for patients with 45,X/46,XY mosaicism. Endocrine Abstracts. 2026.
Vaginal Reconstruction Using Urinary Bladder Tissue in a Patient with OEIS Complex: A Case Report. Journal of Pediatric and Adolescent Gynecology. 2026; 39(3):457-459.
1. Laparoscopic Resection of an Accessory Cavitary Uterine Mass. 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. Journal of Pediatric and Adolescent Gynecology. 2026; 39(2):296.
218. Pneumovaginal Resection of Vaginal Septa in Pediatric and Adolescent Gynecology: A Case Series. Journal of Pediatric and Adolescent Gynecology. 2026; 39(2):340.
164. Vascular Malformations and Gynecologic and Reproductive Health: Results From the Survey of Women with vascular Anomalies (SWAN) Study. Journal of Pediatric and Adolescent Gynecology. 2026; 39(2):322.
193. Extracellular Matrix Small Intestinal Submucosa Interposition Graft to Treat Postoperative Distal Vaginal Stenosis in a Prepubertal Girl. Journal of Pediatric and Adolescent Gynecology. 2026; 39(2):332.
Intraoperative Care and Complications of Symptomatic Adolescent and Young Adult Patients Undergoing Laparoscopy to Diagnose and/or to Treat Endometrioses: A Multi-Institutional Review. Journal of Pediatric and Adolescent Gynecology. 2026; 39(1):94-100.
Vaginoscopic Incision of a Vaginal Septum in Obstructed Hemivagina and Ipsilateral Renal Anomaly Syndrome. Videoscopy. 2026; 35(1):1-3.
Characteristics and Preoperative Management of Adolescent Patients With Pathology-Confirmed Endometriosis: A Multi-Institutional Study. Obstetrical and Gynecological Survey. 2026; 81(1):19-20.
From the Blog
Puberty in Girls: Conversation Starters for Parents
Lesley L. Breech, MD1/21/2025
Podcast | Period Pointers: Guide to Menstrual Hygiene
Lesley L. Breech, MD5/24/2024
Shared Algorithm Supports Ovary-Sparing Surgery
Lesley L. Breech, MD, Beth Rymeski, DO10/3/2023
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