Grace, a 45-year-old woman, is unable to conceive even after multiple attempts. Her menstruation and ovulation are quite irregular. Doctors find that the levels of estrogen and progesterone in her body are less than the normal levels. Grace is most likely experiencing ________ in this scenario.

A) perimenopause
B) menorrhagia
C) endometrial hyperplasia
D) dysplasia

Grace is most likely experiencing perimenopause, which is a stage before menopause where the body undergoes hormonal changes that can lead to irregular menstruation and ovulation. The decreased levels of estrogen and progesterone are also common during perimenopause. Menorrhagia is excessive bleeding during menstruation, endometrial hyperplasia is a thickening of the uterine lining, and dysplasia is abnormal cell growth that can occur in various parts of the body.