March 14, 2008




Securities and Exchange Commission
450 Fifth Street, N.W.
Judiciary Plaza
Washington, DC 20549

                      RE:  IntegraMed America, Inc.
                           Annual Report on Form 10-K
                           For the Year Ended December 31, 2007
                           SEC File No. 0-20260

Ladies and Gentlemen:

We enclose the following documents:

1.   The  IntegraMed  America,  Inc.  Annual  Report on Form 10-K for the year
     ended December 31, 2007.

2.   The  Certifications  of our Chief  Executive  Officer  and Chief  Financial
     Officer required pursuant to 18 U.S.C.  section 1350 as adopted pursuant to
     Section 302 of the  Sarbanes-Oxley  Act of 2002 are filed as Exhibits  31.1
     and 31.2 to the IntegraMed America, Inc. Form 10-K referenced above.

3.   The  Certifications  of our Chief  Executive  Officer  and Chief  Financial
     Officer required pursuant to 18 U.S. C. section 1350 as adopted pursuant to
     Sectin 906 of the Sarbanes-Oxley Act of 2002 are filed as Exhibits 32.1 and
     32.2 to the IntegraMed America, Inc. Form 10-K referenced above.

Sincerely,




/s/ John W. Hlywak, Jr.
- ------------------------
John W. Hlywak, Jr.
Executive Vice President and
Chief Financial Officer

Enclosure

cc:  Robert Dwyer, Esq.