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 March 31, 2009 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. section 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
                                                    May 8, 2009