Abnormal uterine bleeding is a frequent cause of office visits. Wide varieties of diagnostic tests, tools, and techniques are currently available to evaluate this problem. This article discusses benefits, indications, and limitations of transvaginal ultrasound, saline infusion sonography, and an emerging new use of MX imaging in the evaluation of abnormal uterine bleeding. An algorithm is provided to streamline the evaluation.This article reviews the radiographic imaging and techniques available in the evaluation and clinical management of menstrual disorders. Knowledge of and use of these modalities can improve triage of patients, enhance understanding of the pathophysiology of menstrual disturbances, and improve patient care.