What causes dysphoric milk ejection reflex?

Understanding Dysphoric Milk Ejection Reflex (D-MER)
Dysphoric Milk Ejection Reflex (D-MER) is a complex and often misunderstood phenomenon that affects some breastfeeding mothers. Characterized by a sudden onset of negative emotions during the milk ejection reflex, D-MER can manifest as feelings ranging from sadness and anxiety to self-loathing. This emotional response typically occurs just before or during the letdown of milk, lasting only a few minutes but leaving a significant impact on the breastfeeding experience.
The Hormonal Connection
At the heart of D-MER lies a delicate interplay of hormones. When a mother breastfeeds, her body releases prolactin, which is essential for milk production, and oxytocin, which triggers the milk ejection reflex. While oxytocin is responsible for the physical release of milk, it also suppresses dopamine, a neurotransmitter associated with feelings of pleasure and reward. In women experiencing D-MER, this suppression of dopamine appears to be disproportionate, leading to a dysphoric emotional state during the letdown process.
Research indicates that the emotional drop associated with D-MER is not merely psychological but has a physiological basis. The abrupt shift in emotional state is thought to be linked to the hormonal changes that occur during breastfeeding. As oxytocin levels rise to facilitate milk ejection, the corresponding drop in dopamine can trigger feelings of distress or discomfort.
Symptoms and Experiences
Women who experience D-MER often describe their feelings as an overwhelming wave of negativity that can include sadness, anxiety, or even feelings of inadequacy. These emotions can be particularly distressing, especially for new mothers who are already navigating the challenges of breastfeeding and postpartum recovery. Interestingly, some women report experiencing similar feelings even when not actively breastfeeding, suggesting that nipple stimulation alone can evoke this dysphoric response.
The severity of D-MER can vary widely among individuals. For some, the feelings may be mild and fleeting, while for others, they can be intense and distressing. This variability can make it difficult for mothers to understand and articulate their experiences, often leading to feelings of isolation or confusion.
The Need for Awareness and Support
Despite its impact, D-MER remains relatively under-researched and under-discussed in the context of breastfeeding support. Many healthcare providers may not be familiar with the condition, which can leave affected mothers feeling unsupported. Increased awareness and understanding of D-MER are crucial for providing appropriate support and resources to those who experience it.
In conclusion, Dysphoric Milk Ejection Reflex is a significant yet often overlooked aspect of the breastfeeding experience. By recognizing the hormonal underpinnings and emotional ramifications of D-MER, we can foster a more supportive environment for mothers navigating this challenging condition.

How do you stop the Dysphoric Milk Ejection Reflex?

Get adequate self-care Connect with others who also experience D-MER. Use deep breathing during a let down. Distract yourself so you can ignore the negative emotions when they appear. Take supplements such as vitamin D, B-complex and probiotics (consult with your healthcare provider before taking any supplements).

What is the cause of DCI?

Causes of Decompression Sickness
The direct cause of Decompression Sickness, or ‘the Bends’, is due to bubble formation and growth within body organs and tissues. Whilst mainly seen in divers it can also occur high altitude pilots or astronauts as well as persons working in compressed air environments.

Is it bad to breastfeed after getting angry?

Stress May Affect Cortisol Levels
Studies have shown that breast milk from distressed mothers may contain higher levels of cortisol. As your stress level rises, the level of cortisol in your breast milk also increases. When your baby nurses, they may consume some of this extra cortisol.

What causes dysphoric milk ejection?

The current theory is that D-MER occurs as a result of inappropriate activity of a hormone, dopamine, when the let-down reflex is triggered. Research is being done to find the specific way in which D-MER occurs.

How long does Dysphoric Milk Ejection Reflex last?

The symptoms of dysphoric milk ejection reflex can range from mild to severe. They usually begin within a few minutes of breastfeeding, and can last up to 10 minutes.

What is the cause of D-MER?

Little is known about the condition. But most studies show that hormones — specifically, an abrupt decrease in a hormone called dopamine — cause D-MER. Dopamine is a hormone associated with reward and mood. Many studies show low dopamine levels can have a negative effect on your mood and emotions.

How do you trigger milk ejection reflex?

What can I do to encourage my let-down reflex?

1. breathing steadily and slowly.
2. let your shoulders drop.
3. put your feet up.
4. have a warm, non-caffeinated drink.
5. play some relaxing music.
6. think about your baby — if you are away from them, you can look at photos or videos of them.

What causes breastfeeding aversion?

Hormonal shifts are one of the most common causes of breastfeeding aversion. These shifts are usually due to either menstruation, ovulation, or pregnancy.

What causes overactive milk ejection reflex?

Another name for this is hyper-milk ejection. The cause of an OALD reflex is not yet known. It may be due to an abnormally strong reaction to the hormone called oxytocin which is released during suckling or nipple stimulation. It could also be that such women produce too much milk.

Why do I have milk in my breast if I’m not pregnant?

Excessive breast stimulation, medicine side effects or conditions of the pituitary gland all may contribute to galactorrhea. Often, galactorrhea results from increased levels of prolactin, the hormone that stimulates milk production. Sometimes, the cause of galactorrhea can’t be determined.