Navigating dysphoric milk ejection reflex: Implications for maternal mental health

Some breastfeeding mothers face a sense of discomfort triggered by their baby’s suckling, followed by negative emotions. This phenomenon is known as dysphoric milk ejection reflex (DMER). This study provides an updated, comprehensive overview of DMER, describing its sociocultural implications in mental health. A literature search was conducted using databases such as PubMed, SCOPUS, EMBASE, PsycInfo, and SciELO to collect existing studies on DMER. Although DMER is not currently defined as a clinical condition, current research indicates that it can significantly impact maternal mental health, exacerbating feelings of guilt, anxiety, and isolation. Sociocultural stressors complicate breastfeeding, often leading to reluctance to seek help. Common coping strategies include early weaning, which may lead to stigma and further mental health challenges, including depression and anxiety. Treatment for DMER requires a multidimensional approach that encompasses both pharmacological and non-pharmacological interventions. While some medications, like bupropion, show promise, further research is needed to establish effective protocols. The current research is limited, with many findings based on anecdotal evidence. There is an urgent need for more comprehensive research to develop a deeper understanding of DMER and create targeted interventions that can enhance support for affected mothers.