Lactation of suckling by the baby. The milk ejection reflex (also called let-down reflex) is not always consistent, especially at first. Once a woman is conditioned to nursing, let-down can be triggered by a variety of stimuli, including the sound of any baby. Even thinking about breastfeeding can stimulate this reflex, causing unwanted leakage, or both breasts may give out milk when an infant is feeding from one breast. However, this and other problems often settle after two weeks of feeding. Stress or anxiety can cause difficulties with breastfeeding. The release of the hormone oxytocin leads to the "milk ejection" or
Dysphoric milk ejection reflex Dysphoric milk ejection reflex Dysphoric milk ejection reflex (D-MER) is an anomaly of the milk release mechanism in lactating women. A lactating woman who has D-MER experiences a brief dysphoria just prior to the milk ejection reflex. The lactating woman who has D-MER experiences a brief period of dysphoria that begins just prior to the milk ejection reflex and continues for not more than several minutes. It may recur with every milk release or only with the initial milk release at each feeding. D-MER always presents as an emotional reaction but may also produce a hollow or churning feeling in