EXHIBIT 32.1



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


     In connection with the Quarterly Report of IntegraMed America, Inc. (the
     "Company") on Form 10-Q for the period ended June 30, 2004 as filed
     with the Securities and Exchange Commission on the date hereof (the
     "Report"), I, Gerardo Canet, 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:

       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
            material respects, the financial condition and results of operations
            of the Company.



                                                 /s/Gerardo Canet
                                                    ----------------------------
                                                    Gerardo Canet
                                                    Chief Executive Officer
                                                    August 13, 2004



Note: A signed original of this written statement required by Section 906, or
any other document authenticating, acknowledging, or otherwise adopting the
signature that appears in typed form within the electronic version of this
written statement required by Section 906, has been provided to the Company and
will be retained by the Company and furnished to the Securities and Exchange
Commission or its staff upon request.