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  September  30, 2005 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 to 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
         material respects, the financial condition and results of operations of
         the Company.



                                                 /s/Gerardo Canet
                                                    ----------------------------
                                                    Gerardo Canet
                                                    Chief Executive Officer
                                                    November 14, 2005