Exhibit 31.1

                            Certification Pursuant To
                               18 U.S.C. ss. 1350,
                             As Adopted Pursuant To
                  Section 302 of the Sarbanes-Oxley Act of 2002

     I, Gerardo Canet, 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)) 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) 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

               (c)  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 12, 2004

                                        /s/  Gerardo Canet
                                             ----------------------------
                                             Gerardo Canet
                                             Chairman and
                                             Chief Executive Officer
                                            (Principal Executive Officer)