Published Research

Case Study


Dysphoric milk ejection reflex: A case report

Second Case Study


A Case of Dysphoric Milk Ejection Reflex (D-MER)

Qualitative Research Study


Maternal experiences of embodied emotional sensations during breast feeding: An Interpretative Phenomenological Analysis

Google Book Search


Multiple lactation texts have included information about D-MER. A Google Book search reveals which ones.

Google Scholar


Google Scholar shows any papers or studies published about D-MER. Blog


The D-MER blog posts twice a month with updates that includes informative content as well as stories from other mothers.

Case Series


Dysphoric Milk Ejection Reflex: A Case Series

Research Article


 The Mystery of D-MER: What Can Hormonal Research Tell Us About Dysphoric Milk-Ejection Reflex?

Continuing Education Presentation


A brief overview of D-MER for healthcare providers from Fitzgerald Health Education Associates, Inc.

Experiences and knowledge on Dysphoric Milk Ejection Reflex (D-MER)


A study by means of a mixed method design approach out of     

the KAROLINSKA INSTITUTET. An institution for women and children’s health

Dysphoric Milk Ejection Reflex: A Descriptive Study


This is the first study to quantify a prevalence rate and describe suspected experiences of D-MER. It is published in the journal of Breastfeeding Medicine.

Podcasts About D-MER

All About Breastfeeding Podcast


Lori Jill Isenstadt, IBCLC is a huge breastfeeding supporter.  She has spent much  of her adult life working in the maternal health field. Once she became turned on to birth and became a childbirth educator, there was no stopping her love of working with families during their childbearing years.  Lori became a Birth doula and a Postpartum doula and soon became a lactation consultant.  She has been helping moms and babies with breastfeeding for over 25 years.  Lori founded her private practice, All About Breastfeeding where she meets with moms one on one to help solve their breastfeeding challenges.  She is an international speaker, book author and the host of the  popular itunes podcast, All About Breastfeeding, the place where the girls hang out.  You can reach Lori by email at: or contact her via her website:

Breastfeeding Outside The Box Podcast


Alyssa Schnell, has been helping parents and babies with breastfeeding since 2002 and has been accredited as an International Board Certified Lactation Consultant (IBCLC) since 2009.  Alyssa is a conference speaker and author of Breastfeeding Without Birthing:  A Breastfeeding Guide for Mothers Through Adoption, Surrogacy, and Other Special Circumstances.  She has also been featured in the Journal of Human Lactation, the Journal of Clinical Lactation, The Washington Post, Adoptive Families magazine, and New Beginnings magazine.  Alyssa is the proud mother of three breastfed children, two by birth and one by adoption.  She enjoys reading, sewing, yoga, and theater.  Alyssa lives in St. Louis.

Born To Be Breastfed Podcast


Marie Biancuzzo started helping mothers, babies and families to succeed at breastfeeding more than thirty years ago. Fondly remembered for decades by mothers, she earned their trust by helping them to cut through the misinformation, bust the myths, and believe in themselves. Among her peers, Marie has received international recognition as a clinical expert, book author, and national-level change agent. She was a founding member of the United States Breastfeeding Committee, the past president of Baby-Friendly USA, and the founding editor of Nursing for Women’s Health.

Marie has both depth and breadth of expertise from having worked in community and teaching hospitals, with mothers and health care providers, in nearly all subspecialties of maternal infant health. From the mother’s hospital bedside to the university classroom, Marie has honed her skills at helping people be good consumers of health care information.

A native of the Rochester, New York area, Marie now resides in the Washington DC area but crisscrosses the country as Director of Breastfeeding Outlook, the education company she founded in 1998. Through her courses and seminars, Marie works to help nurses and other professionals learn how to help families with breastfeeding and related perinatal topics. Recognized for her warmth and personable teaching style, Marie continues to provide direct assistance to mothers, as well.

Marie writes weekly for her blog, Marie’s Outlook.

The Badass Breastfeeding Podcast


DIANNE CASSIDY is  a lactation consultant in Rochester, New York. She became interested in the field of lactation consulting after breastfeeding her own children. After spending thousands of hours working with new mothers and babies, she was able to sit for the board exam, which qualified her as an International Board Certified Lactation Consultant, or IBCLC. In 2010, She completed her Advanced Lactation certification and BS in Maternal Child Health/Lactation. In the fall of 2013, she completed my MA in Health and Wellness/Lactation.

All Things Breastfeeding Podcast


Barbara Robertson, IBCLC, is the owner of The Breastfeeding Center of Ann Arbor.  Barbara decided in 2008 to open The Breastfeeding Center of Ann Arbor so mothers would have one place to go to have all of their breastfeeding questions answered and all of their needs met because that's what she needed. Barbara has been involved in education for over 24 years. She received a Bachelors degree in Elementary Education in 1988 and her Masters in Education in 1995. Barbara left teaching elementary students in 1995 to raise her two children. Her children spurred her to become involved in La Leche League and, in 1998, she became a La Leche Leader. She enjoyed this work so much that she decided to sit for the International Lactation Consultant Exam and became a board-certified lactation consultant. Barbara is the Director of The Breastfeeding Center of Ann Arbor, on-site at the Center for the Childbearing Year.

Motherhood Unstressed


Each week, Liz Carlile interviews revolutionary authors, doctors, entrepreneurs, athletes, actors, life coaches, and spiritual gurus. As experts in their perspective fields, each guest is asked to share key insights from their unique life experience and provide golden takeaways so that you can live your best life. Through Liz's candid conversations with this diverse group of guests, she's discovered that to truly be happy, we need to be PRESENT. Your journey to feeling happier, more driven, and blissfully present in your own life, starts right now.

Momma Bites


Momma Bites is made by  three therapists passionate about helping people (especially women) heal their relationships with their bodies. Over our years of clinical experience, they became particularly interested in working with moms who struggle to make themselves a priority. They believe you can be sane around food. They believe you never have to diet again. They believe you can enjoy moving your body. They believe you can look in the mirror without frowning. They believe you can eat animal crackers and notice the spots on the giraffes.

THIS Is Legit Motherhood


THIS is Legit Motherhood is all about real and raw motherhood. This podcast will open up the world of motherhood to those who are soon to be moms, new moms, and even seasoned moms to all the things that make motherhood hard and chaotic, but also the freakin’ awesome and beautiful parts of it too. In episode 15 Emily talks about her two very different experiences with breastfeeding. She opens up about the beautiful part every mom anticipates, but also how breastfeeding was hard when she realized she was struggle with D-MER (Dysphoric Milk Ejection Reflex).

The Birth Hour


The Birth Hour, featured as the #1 podcast in iTunes Kids & Family, helps pregnant women achieve an empowering birth experience through sharing authentic birth stories so they are informed going into pregnancy, birth and postpartum.

The Birth Hour is not only a place for sharing birth stories but also pregnancy and postpartum struggles, triumphs and resources. The Birth Hour’s signature online childbirth course, Know Your Options, is the #1 evidence-based online course to prepare you for childbirth, postpartum and breastfeeding. 

Through the podcast, we want to help you connect on a more personal level with all types of experiences. 

Informational Handouts

For Mothers: English (pdf)


For Support People: Engligh (pdf)


For Professionals: English (pdf)


For Mothers: Russian (pdf)


For Support People: Russian (pdf)


For Professionals: Russian (pdf)


For Professionals: German (pdf)


For Mothers: German (pdf)


For Support People: German (pdf)


For Professionals: Dutch (pdf)


For Mothers: Dutch (pdf)


For Support People: Dutch (pdf)


For Mothers: Spanish (pdf)


For Support People: Spanish (pdf)


For Professionals: Spanish (pdf)


All Three Handouts: Chinese (pdf)


For Mothers: French (pdf)


NEW Handout for Medical Professionals (pdf)


For Mothers: Portuguese (pdf)


For Support People: Portuguese (pdf)


For Professionals: Portuguese (pdf)