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Abstract：
Dysphoric milk ejection reflex (D-MER) is characterized by an abrupt dysphoria, or undesirable feeling that occurs with the MER and continues for no more than a few minutes. After milk ejection, the dysphoria vanishes.
This case series provides a report of three women who have experienced D-MER. All three women described the sudden onset of negative feelings at the initiation of each breastfeeding session. The dysphoria vanished after each milk ejection.
Literature on D-MER is limited to one published qualitative research study and two published case reports. As a result, lactation professionals and other providers in the healthcare setting rarely recognize this condition.
The case studies presented here provide evidence for the presence of D-MER. Research is needed to better understand its pathophysiology, incidence, and treatment options.
This case series provides a report of three women who have experienced D-MER. All three women described the sudden onset of negative feelings at the initiation of each breastfeeding session. The dysphoria vanished after each milk ejection.
Literature on D-MER is limited to one published qualitative research study and two published case reports. As a result, lactation professionals and other providers in the healthcare setting rarely recognize this condition.
The case studies presented here provide evidence for the presence of D-MER. Research is needed to better understand its pathophysiology, incidence, and treatment options.
摘要：
排奶反射（D-MER）的特征是突然的烦躁不安，或与MER发生的不良感觉，并持续不超过几分钟。牛奶喷射后，烦躁不安消失了.
本系列病例报告了三名曾经历过D-MER的女性。所有三名妇女都描述了在每次母乳喂养开始时突然出现的负面情绪。每次排奶后，烦躁不安都消失了。
关于D-MER的文献仅限于一项已发表的定性研究和两项已发表的病例报告。因此,哺乳专业人员和医疗保健环境中的其他提供者很少认识到这种情况。
这里提供的案例研究提供了D-MER存在的证据。需要研究以更好地了解其病理生理学，发病率,和治疗选择。
本系列病例报告了三名曾经历过D-MER的女性。所有三名妇女都描述了在每次母乳喂养开始时突然出现的负面情绪。每次排奶后，烦躁不安都消失了。
关于D-MER的文献仅限于一项已发表的定性研究和两项已发表的病例报告。因此,哺乳专业人员和医疗保健环境中的其他提供者很少认识到这种情况。
这里提供的案例研究提供了D-MER存在的证据。需要研究以更好地了解其病理生理学，发病率,和治疗选择。
