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.
Women who experience menopause symptoms. A woman reaches menopause when she has not had a menstrual period for one year, though symptoms often start earlier. They may include sleep issues, mood changes, trouble focusing, vaginal and urinary problems, hot flashes and night sweats. The severity of symptoms varies greatly from person to person, and many women do not need treatment for their symptoms, which tend to go away over time.