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.
Most women have no or few menopausal symptoms while some women have many moderate or severe symptoms. The clearest signs of the start of menopause are irregular periods (when periods come closer together or further apart), and when blood flow becomes lighter or heavier. Other signs may include some of the following: 1  weight gain; 2  hot flashes;