Dysphoric milk ejection reflex sense of depression and this feeling can range from mild homesickness or wistfulness to more intense feelings of hopelessness and self-loathing. Similarly, anxiety may range from restlessness to more intense panic and dread. Anger, the least likely of the three, may range from tension and agitation to more intense feelings of hostility and aggression. The mechanism is not clear. In a mother with D-MER, dopamine may fall inappropriately with milk release, causing the negative feelings. Among the hormones involved in milk production and release are oxytocin, prolactin, and dopamine. Oxytocin, released in pulsatile "spikes" from the posterior pituitary in response
Dysphoric milk ejection reflex and describe the phenomenon to lactation professionals in 2007. It was chosen due to the emotional reaction (dysphoria) to milk let-down (milk ejection reflex). The "milk ejection reflex" is abbreviated among lactation professionals and referred to as the M-E-R. This means that D-MER is not said DEE-MERE, but rather D.M.E.R, all the letters names said individually. In 2008 a team of lactation consultants, headed up by Diane Wiessinger, MS, IBCLC, LLLL worked together and consulted with other medical professionals to do a preliminary investigation to better understand D-MER. After the first published case study of D-MER, it became a more