Do you have a different version of Analytics than I do? Because I see -- bigger than life itself -- options either to email or export reports right up there in the toolbar, just under the report title on the left, next to the menu option for Advanced Segments.
Because, see, unless you have a different version, your first question leads me to believe you haven't actually looked at Analytics very well (at all?) before asking your questions. We're happy to offer advice and assistance when somebody gets stuck, but we're not here to do someone's job for them, for free.
You can do an awful lot with custom reporting. As Chris said, experiment for yourself. Look around for online resources. There are a lot of people out there writing articles and blog posts with hints. You might also be able to find a custom report that's close to what you need at http://www.customreportsharing.com/. If you have specific questions after you've given it a shot for yourself, please ask.