Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You are having empty sella syndrome and your pituitary functions may be deranged. Doma serum assay of potuatory hormones and sex hormones. Treatment is required only in case of hormonal imbalances and external hormonal supplementation may be required. Consult a neurologist and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further.