from English Grammar Today. 1  Efficient and effective are adjectives. 2  We use efficient to describe something or someone that works in a quick and organised way: 3  The new online banking system offers a convenient and efficient way to check your account. [ extract from a reference for someone applying for a job]
Perimenopause. Perimenopause is the phase in which ovulation and fertility begin to slowly wind down. Your hormonal levels decline and you may experience some rather unpleasant symptoms. Some of the most common perimenopausal symptoms include: Mood swings. Hot flashes. Night sweats. Vaginal dryness. Irregular periods.
Most of the symptoms associated with menopause actually happen during the perimenopause stage. Some women go through menopause without any complications or unpleasant symptoms. But others find menopausal symptoms debilitating, beginning even during perimenopause and lasting for years. The symptoms that women experience are primarily related to a lowered production of the female sex hormones estrogen and progesterone.