Empty pyriform saddle in women generally refers to empty pyriform saddle syndrome, which is a clinical manifestation caused by the enlargement of the pyriform saddle and the compression of the pituitary gland due to a variety of reasons. Normally, the central pituitary fossa of the pterygoid is called the pituitary fossa, which holds the pituitary gland, and the pterygoid and the pituitary gland are in close proximity to each other. However, the pterygoid septum can be enlarged and the pituitary gland can be compressed and shrunk due to the inflow of cerebrospinal fluid into the pituitary fossa of the pterygoid as a result of congenital insufficiency of the pterygoid septum, tumors, or surgeries. Female empty butterfly saddle will cause headache, loss of appetite, visual impairment and other symptoms, and the pituitary gland will also affect the endocrine function, the patient will have no pituitary dysfunction manifestations, and some will be manifested as hyperpituitary function, for example, amenorrhea, lactation, hyperprolactinemia, acromegaly or adeno-pituitary hypopituitarism, and so on. If the diagnosis of nulliparous saddle is confirmed, you should talk to your doctor and manage the condition according to the clinical symptoms.