Background: Abnormal uterine bleeding (AUB) is not always reported by women experiencing symptoms. Because of this, 3% to 35% of women worldwide may have abnormal uterine bleeding. Objective: MRI examination of women with AUB to detect any organic cause not detected with transvaginal ultrasonographic examination and if MRI add any advantage more than transvaginal ultrasound. Patients and methods: This study had been conducted at the department of diagnostic radiology-Sohag University Hospital at the period from September 2016 to September 2018. 50 women with abnormal uterine bleeding were referred from the Department of Obstetrics and Gynecology or from the Outpatient Clinic for this study. Results: Our study revealed a sensitivity of transvaginal ultrasonography (TVS) was 100% and specificity was 95.56% in detecting uterine pathology. For uterine myoma; the current study showed that MRI had a sensitivity of 100%, specificity 100%, PPV 90.9% NPV 100% and accuracy 98%. Our MRI sensitivity and specificity for endometrial carcinoma were high may be because endometrial carcinoma was one case only and we used DW image for her diagnosis. The need for histopathological evaluation of endometrial lesion couldn't be totally excluded. In our study TVS had a sensitivity for endometrial carcinoma 100% and specificity 100% Conclusion: Role of MRI in abnormal uterine bleeding as equal as that of (TVUS) but still TVUS has the upper hand as the first imaging choice, real time imaging