Greetings.
This would be essentially termed as a normal ultrasound report, especially when it would be correlated with your symptoms. Following is the explanation;
retroverted & mildly bulky uterus= In most of the women, uterus present as tilting forward and that uterus is called anteverted (means facing forward while this is tilted backwards). In 20% of women this is normally present and does not denote any problem. A bulky uterus at this of cycle is normal as endometrium thickens in this phase of menstrual cycle and make uterus slightly bulky or thickened. Please read this resource for retroverted uterus;
http://www.nlm.nih.gov/medlineplus/ency/article/001506.htm
It also noted a small amount of free fluid in the pouch of the Douglas= this fluid can be due to the rupture of any follicle, and then it is normal. Sometimes it may denote infection if it is thick or is in large quantity.
The endometrium is of normal thickness for secretory phase (currently day 21)= it is normal internal lining of the uterus.
Multiple small bilateral ovarian follicles were noted measuring up to 12mm on the left, with a predominantly peripheral distribution, and numbering >10 bilaterally= these follicle gave a suspicion of the polycystic ovarian disease. But this can appear normally also and with your periods normal, would considered non-pathological condition.
The ovarian volumes were recorded at 8ml on the right & 12ml on the left= these are normal volume of the ovaries.
The appearances of the ovaries are non specific but raise the possibility of polycystic ovarian syndrome= due to cysts. As mentioned not worrisome.
A course of antibiotic may be tried as there was a fluid in the pouch of Douglas. If you have any vaginal discharge, a swab would be needed for the work up.
Please feel free for your follow up questions.
Dr. Arun
Doctor (MD)
MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine