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Howard M, Goulding AN, Muddana A, Fletcher TL, Cirino N, Stuebe AM. Dysphoric milk ejection reflex: prevalence and associations with self-reported mental health history. Archives of Women's Mental Health. 2025 Feb 20 DOI: 10.1007/s00737-025-01571-4.
This study sought to determine prevalence of Dysphoric Milk Ejection Reflex (D-MER) and mental health correlates in a cohort of patients from a breastfeeding medicine clinic. We determined prevalence of D-MER symptoms and performed bivariate analyses to explore associations between D-MER symptoms, demographics, and self-reported mental health history. Among 271 patients, 42 (15.5%) reported D-MER. Women with D-MER symptoms were more likely to report a history of panic attacks (28.6 vs. 12.2%, OR 2.87, 95% CI 1.23-6.25).