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.
Some of the most common menopause symptoms include: (2) 1  Irregular periods: As perimenopause begins (the period before menopause technically starts), periods can come and go, plus get heavier or lighter at times. This can sometimes continue for several years during menopause. 2  Hot flashes and night sweats.