Attached files

                                                                 EXHIBIT 32.1




                            CERTIFICATION PURSUANT TO
                               18 U.S.C. ss. 1350,
                             AS ADOPTED PURSUANT TO
                 SECTIONS 906 OF THE SARBANES-OXLEY ACT OF 2002


     In connection with the Annual Report of IntegraMed America, Inc. (the
     "Company") on Form 10-K for the period ended December 31, 2008 as filed
     with the Securities and Exchange Commission on the date hereof (the
     "Report"), I, Jay Higham, Chief Executive Officer of the Company, certify,
     pursuant to 18 U.S.C. /s/ 1350, as adopted pursuant to section 906 of the
     Sarbanes--Oxley Act of 2002, that to the best of my knowledge:

     1.  The Report fully  complies  with the  requirements  of Section 13(a) or
         15(d) of the Securities Exchange Act of 1934; and

     2.  The  information  contained  in  the  Report  fairly  presents,  in all
         materials  respects,  the financial condition and results of operations
         of the Company.






                                                   /s/ Jay Higham
                                                       ------------------------
                                                       Jay Higham
                                                       Chief Executive Officer

                                                       December 14, 2009



A signed original of this written statement required by Section 906 of the
Sarbanes-Oxley Act of 2002 has been provided to IntegraMed America, Inc. and
will be furnished to the Securities and Exchange Commission or its staff upon
request.