Weaning vs. Treatment
D-MER is an unpleasant, difficult and uncomfortable experience, especially for those suffering with severe D-MER. It has been found thus far, though, that D-MER is treatable. If a mother feels she can not continue nursing because of D-MER it is important for her to consider treatment. The risks associated with formula far out weigh the risks of treatment. On the treatment page many options have been listed and books have been suggested for mothers to reference with their care provider to help understand the safety of these choices. It was an uphill battle getting D-MER "out there" as a recognized condition and the purpose of all that work was never to give mothers a reason not to nurse, the purpose is to encourage mothers who continue on.
Treatment in Summary
For mothers with mild D-MER, education goes a long way in treatment. Many find their symptoms more easily managed once they are aware it is a medical problem not an emotional problem.
Moderate D-MER can also be reduced using education as treatment. If this is not enough than these mothers should be encouraged to track their D-MER in a log to help them become aware of things that may aggravate their symptoms (stress, dehydration, caffeine) and things that may help relieve the symptoms (extra rest, better hydration, exercise.) They should look into lifestyle changes and natural remedies to help them further.
Mothers with more severe D-MER may need a prescription in order to manage her D-MER if she feels she may wean because of it. Thus far, treatments that increase dopamine levels in a mother treat D-MER effectively. If her D-MER is severe, and yet she is not at risk for weaning then using education as treatment, natural remedies and lifestyle changes is the more appropriate course of action.
Education as Treatment
Most mild cases of D-MER end up needing no medical treatment. At first mothers often are very distraught about the feelings they have while breastfeeding and find them to be very disturbing and troubling when they do not understand them, and this is rightfully so. However many mothers with mild cases of D-MER, once they understand the emotions are being hormonally manufactured in their bodies and are not justified emotions, are able to manage their D-MER on their own. It becomes a brief mind game. A mother sits down to nurse and feels horrible. It used to be she asked herself "why do I feel so horrible? What is wrong?" Now, she feels the D-MER she no longer needs to question herself. She can tell herself, "Oh, there it is. Very soon my milk will flow, and then the D-MER will go away." Educating oneself about D-MER, reading other mother's stories, taking part in forum discussion, learning about how D-MER works; all these things help educate and inform a mother about D-MER and help her cope better.