Photo of Mariama-Seray B. Barrie

Mariama-Seray B. Barrie

Nurse practitioner · Family medicine

15+ years of experience

Menopause Society Certified Practitioner

About Sistah Pause

Sistah Pause is a virtual practice for Black women 35 and older, and Barrie says midlife hormone care is the only thing it does. Every new client starts with a paid assessment called Pause, Sis Discovery, which pairs an intake and baseline labs with a 60-minute video review and a written summary of what was found and what to treat first. No prescribing happens at that step. Treatment begins only if you enroll in the six-month program that follows, where she adjusts the plan, repeats labs and handles check-ins through the portal between visits. Hormone therapy is one option rather than the default, and she also uses thyroid medication, non-hormonal medication and prescription weight-management drugs when she thinks they fit. She writes that her own experience with hormonal changes and overlapping symptoms shaped how she practices, and she is direct that this care sits alongside your primary care doctor and gynecologist instead of replacing them.

Care

Treats

  • Perimenopause
  • Menopause
  • Hot flashes
  • Sleep problems
  • Mood & anxiety
  • Brain fog
  • Vaginal dryness
  • Low libido
  • Irregular periods

Prescribes

  • Hormone therapy
  • Non-hormonal medication
  • Weight medication
  • Supplements & lifestyle
  • Lab testing

Particular focus

  • Thyroid
  • Weight & metabolism

Cost and insurance

Insurance

Doesn’t accept insurance

Ask whether they provide receipts for out-of-network reimbursement.

Self-pay

Pause, Sis Discovery (New York)
$297
Pause, Sis Discovery
$697

Clients may run labs and prescriptions through their own insurance, but Medicaid and Medi-Cal patients are not accepted even paying cash.

Verified September 2026.

Qualifications

FNP-BC, MSCP