The uterus is anteverted and measures 110 x 56 x 56mm. The myometrium is heterogeneous with small cystic foci noted suggesting adenomyosis.
The endometrial echo complex has a secretory appearance and measures 12mm in AP dimension this also appears to contain a small cystic focus 7mm in diameter. The endometrium otherwise appears normal with no polyp detected. However given the symptoms I suggest a follow up study immediately following a menstrual period.
The right ovary measures 8.6cc in volume, the left 9.1cc. Both ovaries demonstrate developing follicles and each ovary contains a mildly irregular echopenic nodule in keeping with a corpus luteum.
Free fluid, within physiological limits, is seen in the pouch of Douglas. No adnexal mass is demonstrated