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.
Depression and mood swings. Changes in hormone production affect the moods of women during menopause. Some women report feelings of irritability, depression, and mood swings, and often go from extreme highs to severe lows in a short period of time.