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 women are less interested in sex during menopause because of other menopause symptoms such as depression, anxiety, or lack of sleep. Talk with your doctor or nurse about possible treatments if your menopause symptoms bother you.