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Obstetrics and Gynecology

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Lesley L. Breech, MD

Lesley L. Breech, MD

Appointment

Associate Professor, Pediatrics; Assistant Professor OB / Gyn, University of Cincinnati College of Medicine

Email

lesley.breech@cchmc.org

Phone

513-636-4681

Fax

513-636-8844

Bio

Lesley L. Breech, MD, recently joined Cincinnati Children's Hospital Medical Center as a staff member of the Division of Adolescent Medicine, Section of Pediatric and Adolescent Gynecology. She came from Emory University in Atlanta where she was Director of the Pediatric and Adolescent Gynecology Program and Medical Director of the Teen Reproductive Health Services at Grady Health System.

Dr. Breech earned her undergraduate and medical degrees at the Ohio State University School of Medicine. She completed her residency in Obstetrics and Gynecology at Washington University in St. Louis followed by a fellowship in Pediatric and Adolescent Gynecology, with an emphasis on the management of genital anomalies both at Boston Children's Hospital and Emory University. She has a special interest in the care of girls and young women with abnormalities of the development of the reproductive organs.

Dr. Breech has joined the multidisciplinary care provided by the Center for Pediatric Pelvic and Genitourinary Reconstruction. She also provides gynecologic care for young women with bleeding disorders, polycystic ovarian syndrome, endometriosis, and other gynecologic concerns of pediatric and adolescent females.

Credentials


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

 

Awards and Honors

  • Best Doctors in America, 2008
  • Awarded "2005 Best Doctors"
  • Reproductive Epidemiology and Clinical Trial Design Program, Berlex Foundation Award, 2002

Research

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

Publications, Most Recent


Breech L.  Complications of vaginoplasty and clitoroplasty. In:  Teich S, Caniano DA, eds.  Reoperative Pediatric Surgery.  Totowa, NJ:  Humana Press; 2008, pp. 499-514.

  

Braverman P, Breech LL.  Menstrual disorders.  In:  Slap GB, ed.  Adolescent Medicine:  Requisites in Pediatrics.  Philadelphia: Elsevier; 2008.


Breech, LL.  Pelvic pain and masses in females. In:  Slap GB, ed.  Adolescent Medicine:  Requisites in Pediatrics.  Philadelphia: Elsevier; 2008.

  

Breech LL, Uterovaginal anomalies.  In:  Hillard, Paula JA, ed.  The 5-Minute Obstetrics and Gynecology Consult.  Philadelphia:  Lippincott Williams & Wilkins, 2008; 2008.

  

Breech LL, Vaginal agenesis.  In:  Hillard, Paula JA, ed.  The 5-Minute Obstetrics and Gynecology Consult.  Philadelphia:  Lippincott Williams & Wilkins, 2008; April, 2008.

  

Miller RJ, Breech LL, Surgical correction of vaginal anomalies,Contemporary Ob/Gyn, 2008.

 

Thompson J, Breech L, Rock J. Leiomyomata and myomectomy. In: Rock J, Thompson J, eds. TeLinde's Operative Gynecology. 10 ed. Phildelphia, PA: Lippincott Williams & Wilkins; 2006.

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

 

Quint, E., L. Breech, and M.M.Holmes.Vulvar intraepithelial neoplasia III in a teenager.J Pediatr Adolesc Gynecol 2005;18(1):53-5.

 

 

 

 

 

Breech L, Quint EH, Dharamsi N, Sheldon C. Case 2005: management of vaginal agenesis.J Pediatr Adolesc Gynecol. Oct 2005;18(5):359-362.

Breech L, Holland-Hall C, Hewitt G. The "well girl" exam.J Pediatr Adolesc Gynecol. Aug 2005;18(4):289-291.

Quint EH, Breech L, Brown CM, Kives S. Contraception in teens with medical problems.J Pediatr Adolesc Gynecol. Aug 2005;18(4):293-295.

Breech, L.L.; Basil, J.; Wulkan, M.: Juvenile granulosa cell tumor in a 6-month old infant. Presented at the 17th Annual Meeting of the North American Society for Pediatric and Adolescent Gynecology; May 16-18, 2003; Philadelphia, PA.

 

 

 

 

 

 

Invited Articles and Chapters

 

 

 

 

 

Miller RJ, Breech LL, Surgical correction of vaginal anomalies,Contemporary Ob/Gyn, 2008.

Breech LL, Vaginal agenesis.  In:  Hillard, Paula JA, ed.  The 5-Minute Obstetrics and Gynecology Consult.  Philadelphia:  Lippincott Williams & Wilkins, 2008; April, 2008.

Breech LL, Uterovaginal anomalies.  In:  Hillard, Paula JA, ed.  The 5-Minute Obstetrics and Gynecology Consult.  Philadelphia:  Lippincott Williams & Wilkins, 2008; 2008.

Breech, LL.  Pelvic pain and masses in females.  In:  Slap GB, ed.  Adolescent Medicine:  Requisites in Pediatrics.  Philadelphia: Elsevier; 2008.

Braverman P, Breech LL.  Menstrual disorders.  In:  Slap GB, ed.  Adolescent Medicine:  Requisites in Pediatrics.  Philadelphia: Elsevier; 2008.

Breech L.  Complications of vaginoplasty and clitoroplasty.  In:  Teich S, Caniano DA, eds.  Reoperative Pediatric Surgery.  Totowa, NJ:  Humana Press; 2008, pp. 499-514.

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

Thompson J, Breech L, Rock J. Leiomyomata and myomectomy. In: Rock J, Thompson J, eds. TeLinde's Operative Gynecology. 10 ed. Phildelphia, PA: Lippincott Williams & Wilkins; 2006.

Breech, L. L., and P. J. Hillard. Adnexal torsion in pediatric and adolescent girls. Curr Opin Obstet Gynecol 2005;17(5):483-9.

Hurst B, Gebhart J, Breech L, Rock J. Congenital vaginal abnormalities. In: Baggish M, Karram M, eds. Atlas of Pelvic Anatomy and Gynecologic Surgery. Philadelphia, PA: Elsevier; 2005.

Breech L. The neovagina. In: Kovac S, Zimmerman C, eds. Vaginal Surgery. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.

Breech L, Rock J. McIndoe vaginoplasty:  Timeless and effective. In: Purdie D, ed. The Yearbook of Obstetrics and Gynecology. 11 ed. London: Royal College of Obstetricians and Gynaecologists; 2005.
 

Editorial Positions

Section co-editor, Management Quandery section, J Pediatr Adolesc Gynecol

Manuscript Reviewer

  • Journal of Adol Health 2001-present
  • Journal of Reproductive Medicine 2002-present
  • American J of Obstet and Gynecology 2003-present
  • J Pediatr Adolesc Gynecol 2003-present

 

Presentations, Most Recent

 

“Operative Management of a Complex Ovarian Mass in the Adolescent Population,” Grand Rounds, Good Samaritan Hospital, 5/24/07.

“Gynecologic Concerns in Young Women with Anorectal Malformations,” Workshop on the Treatment of Anorectal Malformations, Cincinnati, OH, 11/06.

“Review:  Prevalence of HPV in the Adolescent Population,” Adolescent Health Update, Akron Children’s Hospital, Akron, OH, 3/16/07

“Surgical Challenges in Pediatric and Adolescent Gynecology,” Lecture, North American Society for Pediatric & Adolescent Gynecology annual clinical meeting, Atlanta, GA, 4/20/07.

“Discussion of the Current hot topics in the Surgical Management of Common Disorders in Teenagers, Surgical debate, North American Society for Pediatric & Adolescent Gynecology annual clinical meeting, Atlanta, GA, 4/21/07.

“Truth or Consequences:  Approach to Adolescent Healthcare in Women,” Sex in the City:  NJT Update on Women’s Health, Wright State University, Dayton, OH 4/25/07.

“Operative Management of a Complex Ovarian Mass in the Adolescent Population, Grand Rounds, Good Samaritan Hospital, Cincinnati, OH, 5/24/07.

“Gynecologic Concerns in Young Women with Anorectal Malformations,” Workshop on the Treatment of Anorectal Malformations, Cincinnati, OH, 6/07.

“Update on Human Papillomavirus (HPV) and Adolescents,” Ohio Chapter of the National Association of Pediatric Nurse Practitioners, West Chester, OH, 10/5/07.

“Changing Bodies and Changing Lives:  Clear facts about relationships and all their consequences—plus the latest information on the HPV vaccine,” 4th Annual Women’s Health Experience, Foundation for Female Health Awareness, Cincinnati, OH, 10/6/07.

 

“Gynecologic Concerns in Young Women with Anorectal Malformations,” Workshop on the Treatment of Anorectal Malformations, Cincinnati, OH, 11/07.

“Gynaecological Concerns in Anorectal Malformations,” 2008 Anorectal Malformation Workshop, Amsterdam, The Netherlands, 1/30-1/31/08.

“Gynaecologic Concerns,” SoMA e.V. (parent group) Meeting, Amsterdam, The Netherlands, 2/2/08.

 

Professional Organization Memberships

Abstracts

Breech LL, Levitt MA, Pena A.  Imperforate anus with rectovestibular fistula and absent or atretic vagina. Video presentation, 34th annual Society of Gynecologic Surgeons meeting, Savannah, GA, April 2008.

Hermann L, Miller RJ, Breech LL. Wandering calcified pelvic mass in a prepubertal girl. Poster presentation, North American Society for Pediatric & Adolescent Gynecology, 22nd Annual Clinical meeting, Newport Beach, CA, April 16-18, 2008.

Levitt MA, Breech LL, Pena A.  Imperforate anus with rectovestibular fistula and absent or atretic vagina. Video presentation, 39th annual American Pediatric Surgical Association meeting, Phoenix, AZ, May 2008.

Barnett SA, Breech LL, Levitt MA, Falcone RA, Pena A. Minimally invasive opportunities for patients with imperforate anus with rectovestibular fistula and absent or atretic vagina. Video presentation, 17th Annual Congress for Endosurgery in Children, Cannes, France, June 2008.



Special Interests

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

 

Editorial Positions

 

Journal of Adolescent Health, 2001 – present
Journal of Reproductive Medicine, 2002 – present
American Journal of Obstetrics and Gynecology, 2003 – present
Journal of Pediatric and Adolescent Gynecology, 2003 – present


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