Why do I feel sad whenever I start breastfeeding?
In some mothers, the let-down brings strong undesirable feelings including sadness, hopelessness, irritability, or nausea. Some mothers may experience feelings of sexual arousal. The feelings disappear within minutes after the let-down has passed. This experience is called a dysphoric milk ejection reflex. It may settle within months or continue for the duration of breastfeeding. The cause is unknown and there is little research on treatment. Distraction, foods with a strong taste, and knowing that these feelings are short-lived may help. Anti-depressant medication is not appropriate and there is no reliable evidence supporting the use of herbs or other medications.