{Reference Type}: Journal Article {Title}: Dysphoric Milk Ejection Reflex: A Case Series. {Author}: Ureño TL;Buchheit TL;Hopkinson SG;Berry-Cabán CS; {Journal}: Breastfeed Med {Volume}: 13 {Issue}: 1 {Year}: Jan/Feb 2018 {Factor}: 2.335 {DOI}: 10.1089/bfm.2017.0086 {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.