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, 2007 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 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/Jay Higham
                                   --------------------------
                                   Jay Higham
                                   Chief Executive Officer
                                   August 10, 2007