Dr Larry Nassar pleaded guilty to three charges in federal court in Grand Rapids in western Michigan. Each could land him in prison for up to 20 years.
He is awaiting trial on charges in three separate cases alleging that he sexually molested a total of nine girls, including eight who were gymnasts seeking treatment for injuries. He has pleaded not guilty, and his attorney, Shannon Smith, said Nassar intends to proceed to trial in those cases.
Investigators in September discovered that Nassar's hard drives with thousands of illicit images had been thrown in the trash, as women and girls mostly former gymnasts were coming forward and saying he had molested them during appointments. Some allegations go back to the 1990s.
Nassar, 53, acknowledged that he dumped the hard drives and paid USD 49 to have a laptop computer wiped clean to "impede and obstruct" investigators.
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As part of the plea deal, the government said it won't prosecute Nassar for traveling internationally between 2006 and 2013 with the intent of engaging in sexual conduct with minors.
Nassar's career began to collapse last summer after the Indianapolis Star reported how USA Gymnastics mishandled complaints about sexual misconduct involving the doctor and coaches.
Women and girls said they felt empowered to speak up after the newspaper published stories.
In addition to the three pending criminal cases in Michigan, Nassar is being sued by more than 100 women or girls who have made similar claims against him.
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