Treating Underdeveloped Ovaries & Uterus: Is It Possible?

Author: Aunt Vadge
Qualified Naturopath | BHSc(N)

Last reviewed: July 7, 2026

Good day Aunt Vadge,

I’m a 34-year-old woman and I have never had a period. My gynaecologist said it’s primary amenorrhoea, and a scan showed both my uterus and ovaries are underdeveloped. Is there any treatment for such an abnormality?

Best,
Underdeveloped

Dear Underdeveloped,

Thank you for writing – this is worth understanding properly. Primary amenorrhoea caused by an underdeveloped uterus and ovaries is an anatomical difference you were born with, and the honest answer is that it can’t be “undone.” But how much function you have, and what your options are, depends entirely on the specifics – and that’s what you need from your doctor.

The most important next step is to get the exact name of your condition. The uterus and the ovaries form via different systems before birth, and often one is more affected than the other – so “underdeveloped” covers a wide range, and the precise diagnosis is what tells you where you actually stand.

Ask your gynaecologist directly: how developed are my ovaries, are they producing any hormones, and how developed is my uterus? Those answers shape everything – whether hormone therapy would help (it’s often used to protect your bones and long-term health when the ovaries make little oestrogen), and what fertility options might exist, including routes like donor eggs or surrogacy for some people.

You’d likely be best served by a specialist in this area – a reproductive endocrinologist, or a gynaecologist who works with differences of sexual development. We have more in that section and in our anatomical abnormalities section, and you’ll find you are far from alone – there are many people with conditions like yours.

This can be a lot to take in emotionally as well as medically, so please be gentle with yourself, and lean on a counsellor or a support community if it would help. Get the specific name, see the right specialist, and you’ll be able to make informed choices from there.

Warmest regards,
Aunt Vadge

This is general information, not a substitute for personalised medical advice.