Menometrorrhagia is a frequent cause of medical consulting. After clinical examination showing the uterine origin of bleeding and excluding a cervical or vulvo-vaginal cause, ultrasonography is indicated. It is the first-line technique examination for the identification of an etiology: benign endometrium lesion (polyp, endometrium atrophy or hypertrophy) or malignant tumor, myometrial lesions (adenomyosis, leiomyoma), adnexal tumors, and first trimester pregnancy complication. Color Doppler sonography and hysterosonography are useful tools for ultrasound performance improvement. Ultrasound gives orientation for diagnosis and therapeutic strategy.