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.
1 There is no reliable lab test to predict when a woman will experience menopause. 2  The age at which a woman starts having menstrual periods is not related to the age of menopause onset.  Symptoms of menopause can include abnormal vaginal bleeding, hot flashes, vaginal and urinary symptoms, and mood changes.