Dysphoric Milk Ejection Reflex, known as D-MER, causes intense negative emotions during breastfeeding. And it might be more common than doctors think. Here’s what you need to know.
D-MER likely has to do with hormonal changes that happen during breastfeeding. Since the condition has only recently been recognized by the medical community, research on it is limited so far. But it’s thought to be related to dopamine, which controls the production of the hormone prolactin. Prolactin, in turn, stimulates the production of milk. However during letdown there is a sudden drop of dopamine in the blood, which then quickly bounces back—coinciding with the feeling fading away.
If the sensation is severe or you’re experiencing thoughts of harming yourself or your baby, go to your doctor ASAP. It could be more than just D-MER, or D-MER could be exacerbating a condition like postpartum depression and anxiety.
and knowledge about D-MER. “I bet you’ll find that if you ask 100 doctors, 99 of them would have never heard of this,” says Livingstone. That was the case in Walker’s situation. She told her doctor and didn’t really get any understanding or help so she turned to an online support group.Walker started dreading nursing her daughter because she was worried about feeling that horrible sensation. “I really wanted to stop because I thought, I shouldn’t do this because it’s emotionally damaging me.
Unfortunately, if you have D-Mer with one child there’s a good chance you’ll have it with subsequent children as well. For Walker, the most helpful thing was just knowing that what she was experiencing was real. “I tell everybody that I know. Any new mom, I say, ‘I don’t want to worry you but this happened to me. So, if you feel that way, like you can look it up.’ ”
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