EXHIBIT 32.2



                            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, 2006 as filed
     with the Securities and Exchange Commission on the date hereof (the
     "Report"), I John W. Hlywak, Jr., Chief Financial 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/ John W. Hlywak, Jr.
                                 ------------------------
                                 John W. Hlywak, Jr.
                                 Chief Financial Officer
                                 November 14, 2006