42. Understanding Dysphoric Milk Ejection Reflex (D-MER) with Lo Mansfield


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I found this episode very interesting because the topic is something that I never experienced and haven’t heard much about, even as a member of the medical community. As a labor and delivery postpartum nurse, Lo Mansfield joined me to discuss Dysphoric Milk Ejection Reflex. It wasn’t until she was experiencing D-MER herself that she learned what it was like to feel strong emotions of sadness while breastfeeding.

D-MER is a condition that can affect some women who are breastfeeding. It causes dysphoria, or a state of feeling unhappy, right before your letdown. These feelings don’t last more than a few minutes, but can be difficult to manage. It is said that D-MER is caused by the drop in dopamine that occurs during letdown.

Lo is a wife, mama to 3 and an RN in Denver,CO who has spent her career in L+D and PPM nursing. She is passionate about all things maternal and fetal health, as well as ensuring that women know that they have a voice and they are allowed to use it in these seasons!

In this episode we discuss:

  • The definition of Dysphoric Milk Ejection Reflex
  • Some ways to help combat D-MER
  • The symptoms of D-MER and how they can vary
  • The difference between D-MER and other postpartum mood disorders
  • When to seek medical help related to D-MER

Connect with Lo:

SHOW NOTES: lynzyandco.com

Connect with me on Instagram @motherhoodmeetsmedicine. For full show notes, head to lynzyandco.com/motherhood-meets-medicine-the-podcast/

Join the Motherhood Meets Medicine community at patreon.com/motherhoodmeetsmedicine.

Disclaimer: This podcast does not provide medical advice. The information on this podcast is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment.

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