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 first sign that you are nearing menopause is a change in your menstrual periods. They may become less frequent. And they may be lighter or heavier than you're used to. Menopause symptoms range from mild (or none) to severe. They include: Hot flashes. Sleep disturbances (insomnia). Emotional changes, such as mood swings or irritability. A change in sexual interest or response. Problems with concentration and memory that are linked to sleep loss and fluctuating hormones (not a permanent sign of aging).