Exhibit 31.1
                            Certification Pursuant To
                                 Rule 13a-14(a),
                             As Adopted Pursuant To
                  Section 302 of the Sarbanes-Oxley Act of 2002

     I, Jay Higham, certify that:

       1. I have reviewed this quarterly report of IntegraMed America, Inc.;

       2. Based on my  knowledge,  this  report  does  not  contain  any  untrue
       statement of a material fact or omit to state a material  fact  necessary
       to make the statements  made, in light of the  circumstances  under which
       such  statements  were made,  not  misleading  with respect to the period
       covered by this report;

       3. Based on my knowledge,  the financial statements,  and other financial
       information  included  in this  report,  fairly  present in all  material
       respects the financial condition, results of operations and cash flows of
       the registrant as of, and for, the periods presented in this report;

       4. The registrant's other certifying officer(s) and I are responsible for
       establishing  and  maintaining  disclosure  controls and  procedures  (as
       defined in Exchange  Act Rules  13a-15(e)  and  15d-15(e))  and  internal
       control  over  financial  reporting  (as  defined in  Exchange  Act Rules
       13a-15(f) and 15d-15(f)for the registrant and have:

       (a) Designed  such  disclosure  controls and  procedures,  or caused such
       disclosure  controls and procedures to be designed under our supervision,
       to ensure that material information relating to the registrant, including
       its consolidated subsidiaries, is made known to us by others within those
       entities,  particularly  during the period in which this  report is being
       prepared;

       (b) Designed such internal control over financial reporting, or
       caused such internal control over financial reporting to be designed
       under our supervision, to provide reasonable assurance regarding the
       reliability of financial reporting and the preparation of financial
       statements for external purposes in accordance with generally
       accepted accounting principles;

       (c) Evaluated the effectiveness of the registrant's disclosure
       controls and procedures and presented in this report our conclusions
       about the effectiveness of the disclosure controls and procedures, as
       of the end of the period covered by this report based on such
       evaluation; and

       (d) Disclosed in this report any change in the registrant's internal
       control over financial reporting that occurred during the
       registrant's most recent fiscal quarter (the registrant's fourth
       fiscal quarter in the case of an annual report) that has materially
       affected, or is reasonably likely to materially affect, the
       registrant's internal control over financial reporting; and

       5. The  registrant's  other  certifying  officer(s) and I have disclosed,
       based on our most recent  evaluation of internal  control over  financial
       reporting,  to the  registrant's  auditors and the audit committee of the
       registrant's  board of directors (or persons  performing  the  equivalent
       functions):

       (a) All significant deficiencies and material weaknesses in the
       design or operation of internal control over financial reporting
       which are reasonably likely to adversely affect the registrant's
       ability to record, process, summarize and report financial
       information; and

       (b) Any fraud, whether or not material, that involves management or
       other employees who have a significant role in the registrant's
       internal control over financial reporting.

Date: November 7, 2008

                                 /s/ Jay Higham
                                    -----------------
                                     Jay Higham
                                     President and Chief Executive Officer
                                     (Principal Executive Officer)