Lesley Breech , MD

Medical Degree: Ohio State University Columbus, OH, 1994

Residency: Washington University College of Medicine, Barnes-Jewish Hospital St. Louis, MO, 1998 (Obstetrics & Gynecology)

Fellowship: St. Louis Children’s Hospital St. Louis, MO, 2000 (Pediatric & Adolescent Gynecology)

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

01-2011 -To Present Associate Professor, Division of Pediatric & Adolescent Gynecology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

09-2007 -12-2010 Associate Professor, Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

04-2004 -08-2007 Assistant Professor, Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

2000 -2004 Assistant Professor, Division of Gynecology, Department of Gynecology and Obstetrics and Department of Pediatrics, Emory University School of Medicine, Atlanta, GA

1998 -2000 Instructor, Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO

1998 -2000 Medical Director, Teen Pregnancy Center, Barnes Jewish Hospital, St. Louis, MO

Published Abstracts

Nahada MC; Breech L; Ailabouni A; Murray RD (1989. ) Absorption of theophylline from the gastrointestinal tract of the piglet .[Abstract]J Clin Pharmacol, 29 ,853

Peer Reviewed Publications

Vallerie, Amy M; Breech, Lesley L (2010. ) Update in Müllerian anomalies: diagnosis, management, and outcomes.Current opinion in obstetrics & gynecology, , 22 (5 ) ,381-7 More Information

Bischoff, Andrea; Levitt, Marc A; Breech, Lesley; Louden, Emily; Peña, Alberto (2010. ) Hydrocolpos in cloacal malformations.Journal of pediatric surgery, , 45 (6 ) ,1241-5 More Information

Peña, Alberto; Bischoff, Andrea; Breech, Lesley; Louden, Emily; Levitt, Marc A (2010. ) Posterior cloaca--further experience and guidelines for the treatment of an unusual anorectal malformation.Journal of pediatric surgery, , 45 (6 ) ,1234-40 More Information

Huppert, Jill; Griffeth, Sarah; Breech, Lesley; Hillard, Paula (2009. ) Vaginal burn injury due to alkaline batteries.Journal of pediatric and adolescent gynecology, , 22 (5 ) ,e133-6 More Information

Levitt, Marc A; Bischoff, Andrea; Breech, Lesley; Peña, Alberto (2009. ) Rectovestibular fistula--rarely recognized associated gynecologic anomalies.Journal of pediatric surgery, , 44 (6 ) ,1261-7; discussion 1 More Information

Diaz, Angela; Laufer, Marc R; Breech, Lesley L (2006. ) Menstruation in girls and adolescents: using the menstrual cycle as a vital sign.Pediatrics, , 118 (5 ) ,2245-50 More Information

Breech, Lesley; Holland-Hall, Cynthia; Hewitt, Geri (2005. ) The "well girl" exam.Journal of pediatric and adolescent gynecology, , 18 (4 ) ,289-91 More Information

Quint, Elisabeth; Breech, Lesley; Holmes, Melisa M (2005. ) Vulvar intraepithelial neoplasia III in a teenager.Journal of pediatric and adolescent gynecology, , 18 (1 ) ,53-5 More Information

Johnson, Meredith A; Breech, Lesley L (2003. ) Management Quandary. Acute pelvic pain in adolescents .Journal of pediatric and adolescent gynecology, , 16 (4 ) ,253-5

Bacon, Janice; Francoeur, Diane; Goldfarb, Alvin F; Breech, Lesley L (2003. ) Abnormal pap smears in adolescents .Journal of pediatric and adolescent gynecology, , 16 (3 ) ,157-66

Ayensu-Coker, Leslie; Essig, Ellen; Breech, Lesley L; Lindheim, Steven (2013. ) Ethical quandaries in gamete-embryo cryopreservation related to oncofertility.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics, , 41 (3 ) ,711-9 More Information

Braverman, Paula K; Breech, Lesley (2010. ) American Academy of Pediatrics. Clinical report--gynecologic examination for adolescents in the pediatric office setting.Pediatrics, , 126 (3 ) ,583-90 More Information

Ayensu-Coker, Leslie; Bauman, Dvora; Lindheim, Steven R; Breech, Lesley (2012. ) Fertility preservation in pediatric, adolescent and young adult female cancer patients. Pediatric endocrinology reviews : PER, , 10 (1 ) ,174-87

Breech, Lesley L; Braverman, Paula K (2010. ) Safety, efficacy, actions, and patient acceptability of drospirenone/ethinyl estradiol contraceptive pills in the treatment of premenstrual dysphoric disorder .International journal of women, , 1 ,85-95

Livingston, Jeffrey C; Elicevik, Mehmet; Breech, Lesley; Crombleholme, Timothy M; Peña, Alberto; Levitt, Marc A (2012. ) Persistent cloaca: a 10-year review of prenatal diagnosis. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, , 31 (3 ) ,403-7

Huppert, Jill; Griffeth, Sarah; Breech, Lesley; Hillard, Paula (2009. ) Vaginal burn injury due to alkaline batteries.Journal of pediatric and adolescent gynecology, , 22 (5 ) ,e133-6 More Information

, ; Diaz, Angela; Laufer, Marc R; Breech, Lesley L (2006. ) Menstruation in girls and adolescents: using the menstrual cycle as a vital sign.Pediatrics, , 118 (5 ) ,2245-50 More Information

Breech, Lesley (2010. ) Gynecologic concerns in patients with anorectal malformations.Seminars in pediatric surgery, , 19 (2 ) ,139-45 More Information

Breech, Lesley; Holland-Hall, Cynthia; Hewitt, Geri (2005. ) The "well girl" exam.Journal of pediatric and adolescent gynecology, , 18 (4 ) ,289-91 More Information

Quint, Elisabeth; Breech, Lesley; Holmes, Melisa M (2005. ) Vulvar intraepithelial neoplasia III in a teenager.Journal of pediatric and adolescent gynecology, , 18 (1 ) ,53-5 More Information

Johnson, Meredith A; Breech, Lesley L (2003. ) Management Quandary. Acute pelvic pain in adolescents. Journal of pediatric and adolescent gynecology, , 16 (4 ) ,253-5

Breech, Lesley L; Laufer, Marc R (2009. ) Müllerian anomalies.Obstetrics and gynecology clinics of North America, , 36 (1 ) ,47-68 More Information

Bacon, Janice; Francoeur, Diane; Goldfarb, Alvin F; Breech, Lesley L (2003. ) Abnormal pap smears in adolescents. Journal of pediatric and adolescent gynecology, , 16 (3 ) ,157-66

Miller, Rachel J; Breech, Lesley L (2008. ) Surgical correction of vaginal anomalies.Clinical obstetrics and gynecology, , 51 (2 ) ,223-36 More Information

Noll, Jennie G; Schulkin, Jay; Trickett, Penelope K; Susman, Elizabeth J; Breech, Lesley; Putnam, Frank W (2007. ) Differential pathways to preterm delivery for sexually abused and comparison women.Journal of pediatric psychology, , 32 (10 ) ,1238-48 More Information

Linam, Leann E; Darolia, Renuka; Naffaa, Lena N; Breech, Lesley L; O (2007. ) US findings of adnexal torsion in children and adolescents: size really does matter.Pediatric radiology, , 37 (10 ) ,1013-9 More Information

Quint, Elisabeth H; Breech, Lesley; Bacon, Janice; Schwandt, Anita (2006. ) Management quandary. Menstrual issues in a teenager with developmental delay.Journal of pediatric and adolescent gynecology, , 19 (1 ) ,53-5 More Information

Breech, Lesley L; Hillard, Paula J Adams (2005. ) Adnexal torsion in pediatric and adolescent girls .Current opinion in obstetrics & gynecology, , 17 (5 ) ,483-9

Brown, Cortney M; Kives, Sari; Quint, Elisabeth H; Breech, Lesley (2005. ) Contraception in teens with medical problems.Journal of pediatric and adolescent gynecology, , 18 (4 ) ,293-5 More Information

Braverman, Paula K; Breech, Lesley (2004. ) Management quandary. Menorrhagia in a teenager: Von Willebrand disease type 1.Journal of pediatric and adolescent gynecology, , 17 (1 ) ,61-4 More Information

Invited Publications

Breech L (2006. ) Gynecologic concerns in patients born with anorectal malformations. PTN News, 15 ((3) ) ,5-9

Book Chapter

Breech L; Rader J (2000 ) Tumors of the uterine corpus and gestational trophoblastic disease Pediatric & Adolescent Gynecology .Philadelphia, PA, Lippincott Williams & Wilkins

Breech L; Rock J (2003 ) Surgery for anomalies of the Müllerian ducts TeLinde's Operative Gynecology 9th Ed. Philadelphia, PA, Lippincott Williams & Wilkins

Thompson J; Breech L; Rock J (2003 ) Leiomyomata and myomectomy TeLinde's Operative Gynecology 9th Ed. Philadelphia, PA, Lippincott Williams & Wilkins

Breech L; Rock J (2004 ) Surgical corrections ofuterovaginal anomalies Gynecology & Obstetrics 3rd Ed. Philadelphia, PA, Lippincott Williams & Wilkins

Breech L; Rock J (2005 ) McIndoe vaginoplasty: Timeless and effective The Yearbook of Obstetrics & Gynecology .London, Royal College of Obstetricians and Gynaecologists

Breech L (2005 ) The neovagina Vaginal Surgery .Philadelphia, PA, Lippincott Williams & Wilkins

Hurst B; Gebhart J; Breech L; Rock J (2005 ) Congenital vaginal abnormalities Atlas of Pelvic Anatomy and Gynecologic Surgery .Philadelphia, PA, Elsevier

Thompson J; Breech L; Rock J (2006 ) Leiomyomata and myomectomy TeLinde's Operative Gynecology 10th Ed. Philadelphia, PA, Lippincott Williams & Wilkins

Breech L (2008 ) Complications of vaginoplasty and clitoroplasty Reoperative Pediatric Surgery .(pp. 499).Totowa, NJ, Humana Press

Braverman P; Breech LL (2008 ) Menstrual disorders Adolescent Medicine: Requisites in Pediatrics .Philadelphia, PA, Elsevier

Breech LL (2008 ) Pelvic pain and masses in females Adolescent Medicine: Requisites in Pediatrics .Philadelphia, PA, Elsevier

Breech LL (2008 ) Uterovaginal anomalies The 5-Minute Obstetrics and Gynecology Consult .Philadelphia, PA, Lippincott Williams & Wilkins

Breech LL (2008 ) Vaginal agenesis The 5-Minute Obstetrics and Gynecology Consult .Philadelphia, PA, Lippincott Williams & Wilkins

Gebhart JG; Breech LL; Hurst BS; Rock JA (2011 ) Congenital vaginal abnormalities Atlas of Pelvic Anatomy and Gynecologic Surgery 3rd Ed .(pp. 811).St. Louis, MO, Elsevier/Saunders

Invited Presentations

Breech L; Merritt D (1997. ) Impediments to timely diagnosis of adnexal torsion .North American Society for Pediatric & Adolescent Gynecology 11th Annual Meeting - April 4-6, Cincinnati, OH. Professional Meeting. . Level:National

Breech LL; Laufer MR (1999. ) Surgicel® in the management of labial and clitoral hood adhesions .North American Society of Pediatric & Adolescent Gynecology Annual Meeting - June 4-6, New Orleans, LA. Professional Meeting. . Level:National

Mostello D; Holcomb W; Breech L; Thompson A (2003. ) A randomized trial of outpatient cervical ripening with dinoprostone gel to reduce the admission-to-delivery interval for induction of labor at term .47th Annual Meeting of the Society for Gynecologic Investigation - March 22-25, Chicago, IL. Professional Meeting. . Level:National

Breech LL; Basil J; Wulkan M (2003. ) Juvenile granulose cell tumor in a 6-month infant .North American Society for Pediatric & Adolescent Gynecology Annual Meeting - May 16-18, Philadelphia, PA. Professional Meeting. . Level:National

Breech LL; Levitt MA; Peña A (2008. ) Imperforate anus with rectovestibular fistula and absent or atretic vagina .34th Annual Society of Gynecologic Surgeons Meeting - April, Savannah, GA. Professional Meeting. . Level:National

Levitt MA; Breech LL; Peña (2008. ) Imperforate anus with rectovestibular fistula and absent or atretic vagina .39th Annual American Pediatric Surgical Association Meeting - May, Phoenix, AZ. Professional Meeting. . Level:National

Barnett SA; Breech LL; Levitt MA; Falcone RA; Peña (2008. ) Minimally invasive opportunities for patients with imperforate anus with rectovestibular fistula and absent or atretic vagina .17th Annual Congress for Endosurgery in Children - June, Cannes, Frances. Professional Meeting. . Level:International

Bischoff A; Levitt M; Breech L; et al. (2009. ) Hydrocolpos in cloacal malformations: Often unrecognized, frequently mismanaged .American Academy of Pediatrics National Conference and Exhibition , Washington, DC. Conference. . Level:National

Hermann L; Huppert J; Peña; Levitt M; Breech L (2009. ) Bowel vaginoplasty associated with complex anorectal malformations: A retrospective review of 131 cases .North American Society for Pediatric & Adolescent Gynecology Annual Clinical Meeting - April 23-25, San Antonio, TX. Professional Meeting. . Level:National

Bischoff A; Ayensu-Coker L; Levitt MA; Breech L; Peña A (2010. ) Ambiguous genitalia in patients with cloaca. Does it occur? .17th International Paediatric Colorectal Club Meeting July 17-19, Padua, Italy. Professional Meeting. . Level:International

Breech L; Bischoff A; Ayensu-Coker L; Levitt MA; Vallerie A; Peña A (2010. ) Gynecologic abnormalities in females with anorectal malformations .17th International Paediatric Colorectal Club Meeting July 17-19, Padua, Italy. Professional Meeting. . Level:International

Peña A; Bischoff A; Breech L; Ayensu-Coker L; Levitt MA (2010. ) A reconstructed narrow or small vagina .17th International Paediatric Colorectal Club Meeting July 17-19, Padua, Italy. Professional Meeting. . Level:International

Lecture

Breech L (10-2000. ) Benign and malignant tumors of the ovaries and tubes of the preadolesent female .Chicago, IL. Professional Meeting. Level:National

Breech L (11-2000. ) Adnexal Masses in Prepubertal Girls .Atlanta, GA. Other Institution. Level:Local

Breech L (03-2001. ) Management of Adnexal Torsion .Atlanta, GA. Other Institution. Level:Local

Breech L (04-2001. ) Menstrual Disorders in Adolescents and Contraceptive Update .Kiawah Island, SC. Other Institution. Level:Local

Breech L (03-2002. ) Polycystic Ovarian Syndrome .Atlanta, GA. Other Institution. Level:Local

Breech L (03-2002. ) Polycystic Ovarian Syndrome .Atlanta, GA. Other Institution. Level:Local

Breech L (06-2002. ) Vaginal Bleeding in Prepubertal Girls .Miami, FL. Professional Meeting. Level:National

Breech L (04-2003. ) Adolescent Issues, .Atlanta, GA. Workshop. Level:Local

Breech L (04-2003. ) Surgical Managment of Gynecologic Issues in Pediatric Patients .Sea Island, GA. Other Institution. Level:National

Breech L; Braverman, P (05-2003. ) Too Much Bleeding - What to Do! .Philadelphia, PA. Workshop. Level:National

1995 Graduate Medical Education Committee

1996 Wyeth Ayerst Resident Reporter (ASRM)

1997 Rothman Research Award, Department of Obstetrics & Gynecology, Washington University School of Medicine Third Place

1999 Professional Development Seminar for Junior Women Faculty American Association of Medical Colleges (AAMC)

2002 Reproductive Epidemiology and Clinical Trial Design Program Berlex Foundation Award

2005 -2010 Best Doctors in America

2000 -To Present: American College of Obstetricians and Gynecologists, Fellow

1998 -To Present: North American Society of Pediatric and Adolescent Gynecology (NASPAG)

2003 -2005: Association of Professors of Gynecology and Obstetrics (APGO)

Practice - Cincinnati Children's Hospital Medical Center
3333 Burnet Ave - ML 4000
Cincinnati  Ohio, 45229
Phone: 513-636-2911
Fax: 513-636-8844
lesley.breech@uc.edu