Any method of increasing the size of the uterus requires a significant amount of time. Hormonal therapy is a typical treatment option for women with hypoplasia. This type of therapy increases the lining of the uterus and promotes growth of any existing uterine tissue. However, hormonal therapy may not be appropriate for all women, such as those who want to become pregnant soon or those who have an underlying heart condition. In these cases, a transvaginal ultrasound-guided injection may be recommended. A doctor would first use ultrasound technology to locate and measure the size of the uterus. Then, they would inject saline or another solution into the wall of the uterus. This stimulates new blood vessel formation which in turn causes the uterus to grow. Uterus transplantation is a surgical procedure where the recipient woman's own uterus is removed and replaced with a cadaveric uterus. The aim is to allow the woman who was born without a uterus to carry children. However, this procedure is still experimental and has many risks including organ rejection. It is only available at a few centers in the world. There are several options available for women with small uteruses. By discussing different treatment strategies with you and your doctor, one can be selected that best fits your needs.