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.
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.