The Earth Altar may sound like a shrine used to worship deities, but in reality, it is not.
Although it's called a shrine, the Earth Altar is actually more like a mud pond structure; its purpose is to nurture and give birth to new Earth Element creatures.
Earth Elements have no gender. In fact, all Elemental Creatures are genderless. The appearance or presence of a female voice or gender-specific appearance is merely a reflection of the information absorbed by Elemental Creatures during their interactions within the multiverse.
For Elemental Creatures to be born, apart from the natural convergence of elements that give birth to new consciousness and new Elemental Creatures, as well as the summoning of an Elemental Lord, their creation can only be aided by the Earth Altar.
The Earth Altar is a specialty of the Earth Elemental Plane; after all, as an Elemental Plane, the concentration and convergence of elements are far stronger there than in other worlds.