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]
For many women who enter menopause naturally, their menstrual cycle first becomes irregular. On average, it stops completely within about 4 years. Other symptoms that can happen during this time include: 1  Mood swings. 2  Lower sex drive. 3  Hot flashes. 4  Sweating. 5  Racing heart. 6  Headaches. 7  Vaginal dryness and soreness. 8  Painful sex. 9  Trouble sleeping.
The fall in levels of oestrogen and progesterone triggers a whole range of symptoms. Around 70% of women experience symptoms with the menopause such as hot flushes and night sweats. A common early sign of the menopause is irregular periods. Low levels of oestrogen also cause the bladder lining to become thinner, and this can lead to loss of some control of the bladder. Two of the most common symptoms associated with the menopause are hot flushes and night sweats.