But the reality for a small subset of women is quite different.

For some moms, this can happen, and its not postpartum depression.

Its a quite different condition known as dysphoric milk ejection reflex, or D-MER.

D-MER and breastfeeding

What is D-MER?

Dysphoric milk ejection reflex, or D-MER, is a condition that can affect some lactating women.

It doesnt last more than a few minutes.

D-MER and breastfeeding

After doing some research, she learned that other women anecdotally reported the same symptoms.

What are the symptoms of D-MER?

These feelings usually disappear as quickly as they showed up within 10 minutes of initiating a feeding.

D-MER and breastfeeding

(Some women have only mild symptoms, but for others the feelings can be severe.)

This is one reason why D-MER can go undiagnosed.

What causes D-MER?

D-MER and breastfeeding

This is temporary, however, as your dopamine levels bounce back after your prolactin goes up.

How is D-MER diagnosed?

Unfortunately, there’s no official way to diagnose D-MER.

D-MER and breastfeeding

But if your symptoms only crop up during nursing, theres a good chance that you do have it.

How is D-MER different from postpartum depression or the “baby blues”?

Traditional antidepressants also seem to do little to relieve D-MERs symptoms.

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How is D-MER managed?

Since theres very little research surrounding D-MER, its hard to know what the best treatment is.

Happily, D-MER doesnt last forever most of the time, it resolves in days or weeks.

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Even if it persists longer than that, it will disappear once you stop nursing.

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