INTEGRAMED AMERICA, INC.








                                                                November 8, 2006

United States Securities and Exchange
Commission
Division of Corporate Finance
100 F Street, N.E.
Washington, D.C. 20549-7010
Attention: Vanessa Robertson
             Staff Accountant


BY EDGAR AND FACSIMILE to 202.772.9217

Re:      IntegraMed America, Inc.
         Item 4.02 Form 8-K
         Filed October 31, 2006
         File No. 000-20260

Ladies and Gentlemen:

         Set forth below are the responses of IntegraMed America, Inc. (the
"Company"), to the comments of the Staff of the Securities and Exchange dated
November 2, 2006 (the "Comment Letter") with respect to the above-referenced
Current Report on Form 8-K. For your convenience, we have set forth below the
Staff's comments in bold followed by the Company's response thereto.

Item 4.02(a)

1.       We note your disclosure that you intend to file restated financial
         statements as soon as practical. Please provide us with additional
         information so that we can understand the timing of when you anticipate
         filing the amended reports.

         The Company's internal financial staff is diligently working with its
         independent auditors and its audit committee to complete the
         restatement of its financial statements. The Company currently
         anticipates filing the amended reports within 45 days from the date of
         this letter.

2.       Please tell us whether you have reconsidered, in accordance with Item
         307 of Regulation S-K, the adequacy of your previous assertions in your
         March 31, 2006 Form 10-Q and June 30, 2006 Form 10-Q regarding your
         disclosure controls and procedures.






         The Company has reconsidered, in accordance with Item 307 of Regulation
         S-K, the adequacy of its previous assertions in its March 31, 2006 Form
         10-Q and June 30, 2006 Form 10-Q regarding its disclosure controls and
         procedures. The Company will revise the assertions regarding its
         disclosure controls and procedures when it files its amended reports,
         as referenced in the response to comment 1 above.

         The Company acknowledges that it is responsible for the adequacy and
accuracy of the disclosure in its filing, that staff comments or changes to
disclosure in response to staff comments do not foreclose the Commission from
taking any action with respect to the filing; and the Company may not assert
staff comments as a defense in any proceeding initiated by the Commission or any
person under the federal securities laws of the United States.

         We trust that the foregoing is responsive to the Staff's comments.
Please do not hesitate to contact the undersigned with any questions or comments
regarding any of the foregoing.

                                            Sincerely,



                                            /s/John W. Hlywak, Jr.
                                               -------------------
                                               John W. Hlywak, Jr.
                                               Executive Vice President & CFO


cc:      Claude White, General Counsel, IntegraMed America, Inc.
         Steven Khadavi, Dorsey & Whitney LLP
         John Pennett, Amper, Politziner & Mattia