Abnormal uterine bleeding is a frequent cause of office visits. Wide variet
ies of diagnostic tests, tools, and techniques are currently available to e
valuate this problem. This article discusses benefits, indications, and lim
itations of transvaginal ultrasound, saline infusion sonography, and an eme
rging 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 cl
inical management of menstrual disorders. Knowledge of and use of these mod
alities can improve triage of patients, enhance understanding of the pathop
hysiology of menstrual disturbances, and improve patient care.