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.
1 The age at which a woman starts having menstrual periods is not related to the age of menopause onset. 2  Symptoms of menopause can include abnormal vaginal bleeding, hot flashes, vaginal and urinary symptoms, and mood changes.  Complications that women may develop after menopause include osteoporosis and heart disease.