Madonna promoted the album during a small promotional tour for the album in April and May 2003 . At the 2003 MTV Video Music Awards , she performed alongside Britney Spears , Christina Aguilera and Missy Elliott a medley of " Like a Virgin " and " Hollywood " and engaged in open-mouth kissing with Aguilera and Spears gaining great controversy and publicity . '' American Life '' was supported by Madonna 's sixth concert tour , the Re-Invention World Tour , which was the highest grossing tour of 2004 earning $ 125 million . The tour was chronicled in the documentary '' I 'm Going to Tell You a Secret '' , which led to Madonna 's first live album of the same name
2003 MTV Video Music Awards
2003 MTV Video Music Awards
American Life