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Dysphoric milk ejection reflex: A case report

Alia M Heise1, Diane Wiessinger

  • 1136 Ellis Hollow Creek Road, Ithaca, NY 14850, USA. dwiessin@baka.com.

International Breastfeeding Journal
|June 8, 2011
PubMed

Dysphoric Milk Ejection Reflex (D-MER) is an abrupt emotional "drop" that occurs in some women just before milk release and continues for not more than a few minutes. The brief negative feelings range in severity from wistfulness to self-loathing, and appear to have a physiological cause. The authors suggest that an abrupt drop in dopamine may occur when milk release is triggered, resulting in a real or relative brief dopamine deficit for affected women. Clinicians can support women with D-MER in several ways; often, simply knowing that it is a recognized phenomenon makes the condition tolerable. Further study is needed.

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