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 March 31, 2009 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. 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/John W. Hlywak, Jr.
                                -------------------------
                                John W. Hlywak, Jr.
                                Chief Financial Officer
                                May 8, 2009