STIPULATION OF SETTLEMENT AND COMPROMISE OF ALL CLAIMS

                                      AMONG

                            INTEGRAMED AMERICA, INC.

                                       AND

             ASSISTED REPRODUCTIVE TECHNOLOGIES, P.C., d/b/aMAINLINE
             REPRODUCTIVE SCIENCE CENTER, REPRODUCTIVE DIAGNOSTICS,
             ABRAHAM MUNABI, M.D., REPRODUCTIVE SCIENCE CENTER OF
             SUBURBAN PHILADELPHIA


         THIS   STIPULATION   AND  SETTLEMENT   AGREEMENT  dated  July  1,  1998
["Agreement"], by and among (1) IntegraMed America, Inc., a Delaware corporation
with its principal place of business at One Manhattanville Road,  Purchase,  New
York 10577  ["INMD"];  and (2) Assisted  Reproductive  Technologies,  P.C. d/b/a
Reproductive  Science Center of Greater  Philadelphia  ("ART") and  Reproductive
Science Center of Suburban  Philadelphia ("PC"), both Pennsylvania  professional
corporations  with their  principal  place of business at 950 West Valley  Road,
Suite 2401, Wayne Pennsylvania 19087, and Reproductive Diagnostics, Incorporated
("RDI") [RDI and ART  collectively  known as the  "Companies"]  and Dr.  Abraham
Munabi ("Munabi")

                                 R E C I T A L S

         WHEREAS, Companies and INMD are parties to a Management Agreement dated
May 15, 1995 ["Management Agreement"]; and

         WHEREAS,  for the purposes of this Stipulation and Settlement Agreement
["Agreement"], the Companies, PC and INMD accept and adopt the defined terms and
definitions contained in the Management Agreement; and

         WHEREAS, the Companies and INMD are parties to an Asset Purchase
Agreement dated May 15, 1995; and

         WHEREAS,  pursuant to such Management Agreement, the Companies,  Munabi
and INMD have operated a program providing Infertility Services (as such term is
defined  in ss.  1.7 of the  Management  Agreement)  and known as  "Reproductive
Science Center of Greater Philadelphia" [hereinafter "Program"]; and

         WHEREAS the Program was part of the INMD  Reproductive  Science  Center
Division, which consists of a national network of similar Programs; and


                      
                                        1





         WHEREAS,  pursuant to the Asset Purchase Agreement,  INMD purchased all
of the assets of the  Companies  and, on this date,  is the record tenant of the
office and  laboratory  space of the  Program,  the owner  and/or  lessee of all
equipment,  fixtures and fixed  assets and the employer of all  personnel at the
Program with the exception of physicians; and

         WHEREAS,  pursuant to the Asset  Purchase  Agreement and the Management
Agreement,  INMD was to make certain  payments,  over the term of the Management
Agreement, for the Exclusive Management Right ["RTM Payments"];and

         WHEREAS,  pursuant  to the  Management  Agreement,  INMD  made  certain
Advances to the Companies,  which Advances were to be repaid by the Companies to
INMD; and

         WHEREAS,  Munabi  and  ART  were  parties  to  a  Physician  Employment
Agreement dated May 15, 1995,  pursuant to which Munabi was the medical director
of the Program and obligated to enforce said Management Agreement;

         WHEREAS,  certain disputes have arisen between and among the parties to
this Agreement in which the parties have mutually  served Notices of Termination
and claimed breaches of the various agreements; and

         WHEREAS,  the  parties  desire  to  effectuate  a  termination  of  the
Management  Agreement  in an orderly  fashion,  so as to insure  the  quality of
Infertility  Services at the  Program,  and to settle and  compromise  all their
disputes in order to avoid the expense and the uncertainty of litigation.

         NOW, THEREFORE,  in consideration of the foregoing,  and for other good
and valuable consideration, the parties, intending to be legally bound, agree as
follows:

1.       Termination of Agreements.  INMD and the Companies hereby terminate the
         Asset Purchase Agreement and the Management Agreements,  effective July
         1, 1998 and,  except for the rights and  obligations  contained in this
         Agreement,  all parties are discharged from any  obligations  under the
         Asset Purchase or Management  Agreements,  including but not limited to
         the repayment of Advances,  payment of RTM payments,  and covenants not
         to compete, it being the intention of the parties to accelerate all RTM
         payments  and apply those  accelerated  payments to repay  Advances and
         discharge any remaining Advances' balance.

2.       General Releases.  IntegraMed,  on the one hand, and the Companies, the
         PC and Munabi,  on the other hand, hereby release and forever discharge
         one another  (including  their  subsidiaries,  affiliates,  successors,
         assigns,  agents,  officers,  directors and employees) from any and all
         claims,   suits,  demands,   debts,  causes  of  action,   liabilities,
         indemnities,  obligations,  costs,  losses,  damages  and  expenses  of
         whatsoever  kind or nature,  whether  legal,  equitable  or  statutory,
         liquidated or unliquidated, known or unknown, including but not limited
         to  those  arising  out of the  Management  Agreement,  Asset  Purchase
         Agreement and Physician  Employment  Agreement,  arising from the first
         day of the world until the date of this Settlement Agreement.


                                                                              

                                        2



       
3.       Continuation  of the Program and  Withdrawal  of INMD.  (a) The parties
         acknowledge and agree that the Program shall,  commencing July 1, 1998,
         be operated solely by Munabi, PC and the Companies, and that INMD shall
         withdraw (except for the INMD  Representative  detailed in paragraph 11
         hereof) and cease to offer any  management,  administrative  or support
         services to the Program.

         (b) Employees. Effective July 1, 1998, at the opening of business, INMD
         shall  terminate the  employment  of all its  employees  located at the
         Program  (other than the INMD  Representative  referred to in paragraph
         11) and the Companies or the PC shall hire such employees.

         (c)  Insurances.  Effective July 1, 1998, INMD shall cancel the general
         liability  insurance policy in effect for the Companies and the Program
         Premises  [as  defined  in   paragraph   7(c)]  and  shall  cancel  the
         professional  liability  insurance  policy in effect for the Companies'
         and PC's staff (including  Munabi).  Munabi covenants and warrants that
         the PC and Munabi  have had  professional  liability  insurance.  in an
         amount  of no  less  than  $1  million  per  claim/$3  million  in  the
         aggregate,  since June 24, 1998 and that the Companies and Munabi shall
         provide INMD, proof of such insurance,  and proof of general  liability
         insurance  for the  Program  Premises  no later than July 8, 1998.  The
         Munabi/Companies/PC obligation to provide proof of such insurance shall
         continue  annually (on the  anniversary  date of the first proof) until
         and unless the Payment  Price,  as defined in  paragraph 5 hereof,  has
         been fully paid to INMD. Munabi hereby acknowledges and agrees that any
         and all health and/or disability  benefits provided by INMD shall cease
         on July 1, 1998.

         (d) Notification of Patients. Munabi, the Companies and PC shall notify
         patients of the Program,  on or before July 10,  1998,  that he and the
         Companies/PC  are no longer  affiliated with INMD. The form and content
         of such  notification  shall  be  previously  approved  by  INMD,  such
         approval not to be unreasonably withheld.

         (e)  Biological Materials.

                  (i) The Companies, PC and Munabi, hereby acknowledge and agree
                  that,  at all times  during the time period of the  Management
                  Agreement, and at all times hereafter,  the Companies,  Munabi
                  and/or  PC have  solely  been the  rightful  custodian  of all
                  biological  materials,  including  but not  limited  to sperm,
                  oocytes  and  embryos   (cryopreserved  or  fresh)["Biological
                  Materials"]  and that they  shall  continue  to  preserve  and
                  protect such Biological Materials as are in their custody.


                                                                            
                                        3





                  (ii) The  Companies  and PC shall  provide INMD with a list of
                  all patients who (1) have cryopreserved  biological  materials
                  in storage at the Program as of July 1, 1998, and (2) who have
                  had  cryopreserved  biological  materials  in  storage  at the
                  Program from May 15, 1995 through July 1, 1998,  together with
                  information as to and the date as to when storage ceased.

                  (iii)  The  Companies/PC  shall  indemnify,  defend  and  hold
                  harmless INMD against any claims arising out of the custody or
                  storage of Biological Materials on or after July 1, 1998.

         (f)  Removal of  Proprietary  Information.  INMD shall  remove from the
         Program  Premises  any and all copies of  proprietary  information,  as
         listed on Schedule A annexed hereto,  and the Companies,  Munabi and PC
         hereby  covenant  not to copy or utilize  any  consents,  procedure  or
         policy  manuals or proprietary  information  henceforth in operation of
         the Program.

         (g)  Billing  Cooperation.  INMD shall leave at the Program any and all
         documentation  and  equipment  necessary  for the  Program  to bill for
         unbilled Infertility Services and to collect outstanding amounts.  This
         shall include data stored in the computer system at the Program. INMD's
         corporate  staff,  with  the  exception  of  the  INMD   Representative
         described in paragraph 11, shall no longer have modem or network access
         to the Companies/PC's computers at the Program.

4.       Change of name. On or before March 31, 1999, ART, Munabi, PC or any PC,
         fictitious  name and/or  business  entity  through  which  Munabi shall
         practice medicine,  shall cease and desist from utilizing any corporate
         name and/or any fictitious name under which each or any may trade, that
         includes the phrase  "Reproductive  Science Center" and shall cease and
         desist  from  using  any  marketing  materials  that  include  the name
         "Reproductive Science Center".

5.       Payment Price for INMD Withdrawal.  In consideration of the termination
         of the Management  Agreement and Asset  Purchase  Agreement and for the
         withdrawal of INMD from the Program as described  above at paragraph 4,
         PC shall pay the following to INMD:

         (a) The Asset Price as delineated in paragraph 7 below; and

         (b) An amount  ("June Net Costs") equal to the  difference  between (1)
         the Costs of  Services  (as  defined in Section  2.1 of the  Management
         Agreement)  actually  incurred by INMD in the  operation of the Program
         during the time period  June 1 through  June 30,  1998;  and (2) INMD's
         Severance  Cost, such term being defined as the costs and expenses that
         INMD would have incurred had it terminated  all of its employees at the
         Program on July 1, 1998.  The  parties  agree that INMD and PC's agent,
         Cogen & Sklar,  shall,  in good faith,  agree on the foregoing Costs of
         Services and  Severance  Costs,  no later than July 15, 1998,  and that
         INMD shall provide  appropriate backup information and documentation to
         support the calculation thereof.

                                                              
                                        4





                           

         The  parties  hereto  agree that items (a) and (b),  in the  aggregate,
         represent the total  "Payment  Price" for the assets and  withdrawal of
         INMD.

6.       Payment  of  Payment  Price  and  Covenant  by  Munabi.  Munabi  hereby
         covenants and represents that the obligation for payment of the Payment
         Price is that of the PC, which is the current professional  corporation
         through which he practices medicine. He hereby covenants and represents
         that if, at any time prior to the full payment of the Payment Price, he
         should  establish  another  professional  corporation or entity through
         which he shall practice medicine, he shall do so only if such PC and/or
         sole   proprietorship   or  business  entity   expressly   assumes  the
         obligations of the Payment Price and the obligations of this Agreement.

7.       Purchase  of  Assets.  The PC shall  purchase  the  tangible  assets (a
         tentative schedule of such assets being here attached as Schedule B) at
         a Closing  ("Closing")  to occur at a  mutually  convenient  date on or
         before July 30,  1998.  The  documents  to be exchanged at such closing
         shall be held in escrow by the law firm of  Ledy-Gurren &  Blumenstock,
         LLP  ["LG&B"],  230 Park Avenue,  New York,  New York,  until the first
         installment of the Payment Price has been paid.

         (a) The parties agree that the PC and IntegraMed  shall agree,  in good
         faith, on the accuracy of such schedule on or before July 15, 1998.

         (b) The  purchase  price for such  assets  shall be the net book  value
         thereof  ("Asset  Price") and the parties  agree to utilize  Schedule B
         attached  hereto as a starting point,  and to come to an agreement,  in
         good  faith,as  to the net book value of such  assets.  Such  agreement
         shall occur on or before July 15, 1998.

         (c) The PC shall assume,  as of July 1, 1998,  the lease for the office
         space of the Program  located in Wayne,  PA  ("Program  Premises")  and
         shall indemnify INMD against any claims for rent or payments thereunder
         made by the Landlord.

         (d) The PC shall assume the leases,as of July 1, 1998,  for any and all
         medical  and/or office  equipment  located at the Program  Premises and
         shall indemnify INMD against any claims for rent or payments thereunder
         made by the Lessors thereof.

8.       Payment of Payment Price. The Payment Price shall be paid as follows:

         (a). a down payment  equal to 10% thereof  ["Downpayment"],  payable on
         September 1, 1998.



                                        5





         (b). the balance thereof due in 16 quarterly  payments,  with the first
         quarterly  payment due on December 1, 1998. The quarterly  payments for
         the  first two  years  ("Year  1" and  "Year  2") shall be eight  equal
         payments which,  together with the Downpayment shall, in the aggregate,
         be in an amount equal to 40% of the total Payment Price,  and those for
         the last 2 years ("Year 3" and "Year 4") shall be eight equal  payments
         which,  in the  aggregate,  shall be in an  amount  equal to 60% of the
         total Payment Price.

         (c). Interest shall accrue on the Payment Price as of September 1, 1998
         at a rate equal to the lesser of INMD's cost of funds (as of  September
         1,  1998) or the  "Prime  Rate" (as of  September  1, 1998) as the same
         shall be  published  in The Wall Street  Journal on  September 2, 1998)
         (hereafter, the "Interest Rate").

         (d)      In the event that the Payment  Price is fully  repaid prior to
                  the end of Year 4, the PC shall be  entitled  to a discount on
                  the remaining balance, as of the date of such pre-payment,  in
                  an amount equal to the then  remaining  balance of the Payment
                  Price multiplied by the Interest Rate.

         (e)      The payment  schedule  detailed  in  sections  (a) through (d)
                  above is specifically subject to paragraph 12 below.

9.       Security. The Payment Price shall be secured as follows:

         (a)      PC shall,  at Closing,  grant and deliver to INMD,  a security
                  interest,  in proper form suitable for filing  pursuant to the
                  Uniform Commercial Code, in the Assets, such security interest
                  to be operative  from the period  beginning at the Closing and
                  ending on  September  1, 2000 and to secure  the  payments  of
                  Years 1 and 2; and

         (b)      Munabi's  shall,  at Closing,  deliver to INMD,  his  personal
                  guaranty, in mutually acceptable form (the parties to use good
                  faith in agreeing to such form) for the payment of the amounts
                  that shall become payable in Years 3 and 4.

         (c)      The securities  granted hereunder shall be fully operative and
                  subject to paragraph 12 below.

10.      Right to Accounts Receivable.  The parties hereby acknowledge and agree
         that, during the operation of the Program,  certain accounts receivable
         were,  and shall  continue to be,  generated.  For the purposes of this
         Agreement,  accounts  receivable are deemed  generated on the date that
         the  medical  or  laboratory  service or  treatment  is  provided  to a
         patient,  irrespective  of the date  (before or after  treatment)  that
         payment is actually received.  The parties hereby agree and acknowledge
         the following rights and interests in accounts receivable of the

                                  
                                        6





         Program,  it being understood and agreed that any "unapplied  payments"
         (that is, payments as to which,  after  reasonable  inquiry,  it is not
         possible to determine  which medical or  laboratory  service it relates
         to) made by patients  and/or payors shall be prorated,  between May and
         June  Receivables,  based on the percentage of May and June Receivables
         contained in the entire outstanding  balance of the patient at the time
         of the receipt of the unapplied payment.

         (a) Any and all  accounts  receivable  generated on or prior to May 31,
         1998 ("May Receivables") are the sole property of INMD, whether payment
         therefor has, or in the future is, received by INMD, the Companies, the
         PC and/or Munabi.

         (b) Any and all accounts receivable generated on and after June 1, 1998
         ("June Receivables") are the sole property of the Companies and the PC,
         whether payment therefor has been, or in the future is, received by any
         or all of INMD, the Companies, the PC and/or Munabi.

         (c)  The  Companies,  PC  and  Munabi  shall  provide  to  INMD  a full
         accounting  of  payments  received  by them  since  June 1,  1998  ["PC
         Receipts"],   estimated  at  approximately   $20,000  (twenty  thousand
         dollars), by providing all bank statements and records of the PC and/or
         Munabi  relating to such  monies and  identifying  the  patient  names,
         amounts paid and  procedures  performed and the date  thereof,  so that
         INMD may identify such amounts as May Receivables or June  Receivables,
         or a combination  thereof.  It is understood  and agreed that such bank
         records will reveal a deposit of $3300  (thirty-three  hundred dollars)
         to the PC account which represents the personal money of Munabi.

         (d)  INMD  shall  provide  a full  accounting  to the PC of the  amount
         "swept" by INMD on or about June 18, 1998,  estimated at  approximately
         $118,000  ["Swept  Money"],  by identifying the patient names,  amounts
         paid and date of medical treatment  performed,  so that PC can identify
         such amounts as May Receivables or June  Receivables,  or a combination
         thereof.  Further,  INMD shall provide a full  accounting,  in the same
         manner,  to the PC of any  amount  "swept"  by INMD on or after June 1,
         1998.

         (e) In the event there  arises a dispute  between INMD and PC as to the
         nature and  character of the PC Receipts or Swept Money (as May or June
         Receivables),  the parties shall first rely on the date the service was
         rendered,  as shown on the computer records generated by INMD. PC shall
         have the burden of proving such records  erroneous by supplying  copies
         of the patient medical records.

         (f) Escrow monies. Munabi, the PC and the Companies shall promptly, and
         no later than July 6, deliver the PC Receipts to LG&B, to be held in an
         attorney  escrow  account  (non-interest  bearing).  The parties  shall
         agree, in good faith, on the division of such PC Receipts no later than
         July 10, 1998. LG&B shall fax notice of the proposed distribution to PC
         or INMD, as the case shall be, and shall  distribute such escrow money,
         
                                                            

                                        7





         at the  conclusion of the next  business  day, in accordance  with such
         notice  unless the PC counsel or INMD  notifies LG&B of an intention to
         arbitrate a disagreement with the terms of said proposed distribution.

         INMD shall promptly,  and no later than July 6, deliver the Swept Money
         to  LG&B,  to be  held  in an  attorney  escrow  account  (non-interest
         bearing).  The parties shall agree,  in good faith,  on the division of
         such  Swept  Money by July 10,  1998.  LG&B  shall  fax  notice  of the
         proposed  distribution  to PC or INMD,  as the case shall be, and shall
         distribute  such escrow money,  at the  conclusion of the next business
         day,  in  accordance  with such  notice,  unless the PC counsel or INMD
         notifies  LG&B of an  intention to  arbitrate a  disagreement  with the
         terms of said proposed distribution.

11.      Collection of Accounts Receivable.  A representative of INMD (of INMD's
         choosing) (the "INMD  Representative") shall be on the Program Premises
         for up to and including 120 days,  beginning  July 1, 1998, in order to
         oversee and make efforts for the collection of the accounts  receivable
         of the Program and the PC. Such collection shall be jointly  supervised
         and conducted by the INMD  Representative  and a representative  of the
         Companies/PC designated by Munabi (the "Companies Representative"). The
         INMD and Companies  Representatives  shall have joint and  simultaneous
         access  to the PC's  P.O.  Box at the  Southeastern  PA Post  Office in
         Wayne,  PA.  and  shall  have full and  complete  access to any and all
         billing  information,   data  and  computer  information  necessary  to
         process,  record and document payment of such accounts receivable.  The
         INMD Representative and the Companies Representative shall, jointly and
         in good faith, allocate any and all monies received as being either May
         Receivables or June Receivables.  INMD and the PC shall, in good faith,
         insure  that  the  June  Receivables  are  paid  to the PC and  the May
         Receivables  are paid to INMD.  The PC and Munabi  hereby  covenant  to
         cooperate with the INMD  Representative  in his/her  efforts to collect
         May Receivables and agree not to interfere,  by omission or commission,
         with that  effort.  In the event  that there is a dispute  between  the
         Companies'  Representative and the IntegraMed Representative concerning
         whether  monies  received   constitute  a  May  Receivable  or  a  June
         Receivable,  the  parties  shall  first rely on the date of the service
         rendered,  as shown in the computer  records  generated by INMD and, if
         the Companies' representative disagrees with such records, he/she shall
         produce the patient's  records.  If the parties cannot,  in good faith,
         

                                                                                
                                        8





         agree to the allocation on the basis of such records,  such collections
         shall be put in escrow until the matter is determined by arbitration or
         agreement.

12.      Acceleration.  The  Payment  Price  shall  be  accelerated  and  become
         immediately due and payable on the occurrence of any of the following::
         (1) Munabi sells his reproductive  science practice,  or a greater than
         49%  interest  therein;  or  (2) if  Munabi,  the  Companies  or the PC
         interfere in the collection of the accounts receivable,  as the same is
         described in Paragraph 11 above; or (3) if a payment is not made within
         fifteen (15) days after written notice by INMD of a default in payment,
         sent by certified mail to the PC.

13.      Waiver of Further Walter Reed Payments.  The parties  acknowledge agree
         that,  during the  operation of the  Management  Agreement,  Munabi has
         received  monthly  payments,  in the nature of a "finder's fee" arising
         out of INMD's management agreement with the U.S. Defense Department and
         Walter Reed  Hospital.  Munabi hereby waives any and all future payment
         or  claim  of any  nature,  to  such  monies  or any  interest  in said
         management agreement or renewal thereof.

14.      Cooperation.  In  the  event  of  any  claims,  suits  or  governmental
         investigations,  arising out of or relating  to the  Program,  in which
         INMD,  Munabi,  the Companies and/or the PC shall be named or involved,
         whether or not pending during the term of the Management Agreement, the
         parties hereto agree to fully  cooperate with each other in the defense
         of such suit, claim or  investigation.  Such cooperation shall include,
         by way of example but not limitation, meeting with defense counsel, the
         production   of  any   documents  in  their   possession   for  review,
         participation in discovery or an investigation by an insurer,  response
         to subpoenae  and the  coordination  of any  individual  defenses  with
         counsel for all parties.  Munabi,  the Companies  and the PC shall,  as
         soon  as  practicable,   deliver  to  INMD  copies  of  any  summonses,
         complaints, suit letters, subpoenae or legal papers of any kind, served
         upon  them or their  attorneys.  This  obligation  to  cooperate  shall
         survive the satisfaction of any payment obligations  hereunder,  or the
         termination of this Agreement for whatever reason,  and nothing in this
         paragraph  shall obligate the parties to pay any legal fees incurred by
         the other.

15.      Non-Disparagement  and  Confidentiality.  The parties  acknowledge that
         this Agreement represents a fully consensual and amicable separation of
         interests  and  that,   hereafter,   each  party   covenants  that,  in
         communicating  with third  parties,  they shall not, by action or word,
         defame,  criticize  or condemn the  actions,  conduct or motives of the
         other.  Each party recognizes that this covenant  represents a material
         obligation  of both parties under this  Agreement,  the breach of which
         may impact  adversely  on the business  interests of the  non-breaching
         party.  The parties further  covenant that they shall keep the terms of
         this Agreement confidential,  except to the extent necessary to enforce
         the terms hereof.


                                                                         

                                        9





16.      Additional Agreements. The parties anticipate that it will be necessary
         to prepare  various  documents  (including  but not limited to "Bill of
         Sale",  security  agreement and  guaranty) to effectuate  the intent of
         this  Agreement.  They  shall  agree in good faith on the terms of such
         documents.  In addition,  the parties shall  cooperate in good faith to
         carry out the provisions of this Agreement and the intent thereof,  and
         shall  deliver the necessary  documents to effectuate  the intention of
         this Agreement.

17.      Arbitration.  Any dispute arising out of or relating to this Agreement,
         or the  obligations  of the parties to each other,  shall be settled by
         arbitration in accordance  with the Rules of Commercial  Arbitration of
         the American  Arbitration  Association  and  judgement  upon such award
         rendered by the arbitrator  shall be final and binding upon the parties
         and may be  entered  in any  court  having  jurisdiction  thereof.  The
         arbitrator shall be an arbitrator qualified to serve in accordance with
         the rules of the American  Arbitration  Association  who is approved by
         both Munabi and INMD. In the absence of such  approval,  Dr. Munabi and
         INMD each shall designate a person  qualified to serve as an arbitrator
         in accordance  with the rules of the American  Arbitration  Association
         and the two persons so  designated  shall  select the  arbitrator  from
         among those persons  qualified to serve in accordance with the rules of
         the American Arbitration Association.  The arbitration shall be held in
         Philadelphia,  PA. Except as otherwise  provided herein,  the costs and
         expenses of the two  individuals who shall have selected the arbitrator
         and of the  arbitrator  shall be paid by the losing party (who shall be
         specifically designated as such by the arbitrator as part of his or her
         judgment). Notwithstanding the foregoing, the parties shall be entitled
         to obtain an injunction, temporary restraining order or other equitable
         relief from a court of competent jurisdiction.

18.      Governing  Law.  This  Agreement  shall be  governed by the laws of the
         Commonwealth of Pennsylvania,  without  reference to rules of conflicts
         of laws.

19.      Amendment.  No  modification,  amendment or addition to this Agreement,
         nor  waiver  of any of its  provisions,  shall be valid or  enforceable
         unless in writing and signed by all parties.

20.      No  assignment  or  delegation  of this  Agreement  or the  rights  and
         obligations  hereunder  shall be valid without the specific  consent of
         all parties.

21.      No consent or waiver,  express or implied,  by either party hereto,  of
         any  breach or  default by the other  party in the  performance  by the
         other of its obligations  hereunder,  shall be valid unless in writing,
         and no such  consent  or waiver  shall be deemed or  construed  to be a
         consent  or  waiver  to or of  any  other  breach  or  default  in  the
         performance by such other party of the same or any other  obligation of
         such party  hereunder.  Failure on the part of either party to complain
        

                                                                          
                                       10





         of any act or failure to act of the other party or to declare the other
         party in  default,  irrespective  of how long such  failure  continues,
         shall not constitute a waiver by such party of its rights hereunder.

22.      Any notices, requests, demands and other communications provided for in
         this  Agreement as required  among the parties in  connection  with the
         Agreement shall be in writing and shall be deemed to have been given at
         the time when mailed at any United  States Post Office via  register or
         certified  mail,  prepaid,  or sent  by  overnight  delivery  services,
         addressed  to the party at the  address  set forth  below or such other
         addresses as such party may designate by notice:

         To PC, Companies and/or Munabi:
         Abraham Munabi, M.D.
         950 West Valley Road
         Suite 2401
         Wayne, Pennsylvania 19087



                                                                              
                                       11




         To IntegraMed America, Inc:

         Donald S. Wood, Ph.D.
         Chief Operating Officer
         Integramed America, Inc.
         One Manhattanville Road
         Purchase, New York 10577

IN WITNESS  WHEREOF,  the parties have set their hands  hereunto this 1st day of
July 1998.


INTEGRAMED AMERICA,INC.                              ART


By:   /s/Donald S. Wood                    By:    /s/Abraham Munabi
      -----------------------                     ----------------------  
         Donald S. Wood, Ph.D.                       Abraham Munabi, M.D.
         Title: Chief Operating Officer       Title: President


RDI                                           REPRODUCTIVE SCIENCE CENTER
                                              OF SUBURBAN PHILADELPHIA



By:      /s/Abraham Munabi                    By:    /s/Abraham Munabi
         -------------------                         --------------------
         Abraham Munabi, M.D.                        Abraham Munabi,M.D.
         Title: President                     Title: President


/s/Abraham Munabi
- --------------------------------------
Abraham Munabi, M.D.

   
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