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.
Stage One-Perimenopause. The first stage of menopause is perimenopause. It's that time when hormones revolt and take unto themselves a life of their very own. Since the word perimenopause literally means around menopause you know that when the signs start showing up you are likely within ten years of menopause.