During menopause, also known as the climacteric, the natural rhythm of the menstrual cycle slowly comes to an end. Many women perceive the hormonal changes in the body not only as a psychological burden but a physical one as well, including complaints of hot flashes, sweating, pounding heart, dizziness, sleeplessness and even depression. Perception of menopause is largely negative in our culture – unfairly so. It is a time of renewal, of transition from a life more focused on the physical to one with greater social, spiritual and physical freedom. The midlife passage is a phase of new beginnings, a time to birth one’s true spiritual self.