After doing IUI in Chicago and relocating out to MA, we needed a new Dr. We decided to try Dr Howe even though his reviews were 50⁄50. Our first two visits were good and our actual IUI was horrible. We were shoved in a room with two women we never met and handed a sheet and was told to verify by looking at our EMPTY capsule that it was our donor. The number was correct but the sheet of paper said it was tested and thawed at 8AM and our appt was 11AM. So being that things were way diff. from before I asked what their process was for our sperm sample. The woman behind the NP that was doing my IUI said we thaw it for a few hours, then wash it, then test it. I freaked! Our sample comes pre-washed and the fact that they thawed it at 8AM stressed me out. They handed us a timer and said lay her for 20 mins. I was upset & stressed. We later found out that woman was a MA, also she had the lad tech Ellen come tell us she didn’t wash it after 10 mins and she was very questionable and shaky. The Dr called a few days later and instead of saying sorry for the mishap implied that I need to ask the right people the correct questions and that Ellen’s answer should have been enough and that she just is shaky in general. Great a lab worker that is shaky with our donor sperm. He then began to say he doesn’t like being set up. Over all this doctor could use some classes on respect, communication, and empathy in my opinion. I have read many reviews about him that people have had problems for years getting pregnant. FYI: follow up we switched doctors and the next month conceived. Go figure. DONOTWAISTYOURTIME&MONEY on this man that calls himself a doctor. I would give this guy a negative star if I could. I would also like to say that we are cash paying patients and our first two visits we paid after our visit our last visit as soon as we walked in they asked for payment. Not a professional office by any means. Price too his office for IUI354 $, our new office 98 $. It really is not about the cost though it is about feeling good when you are doing the most important thing you can do in this lifetime. I hope this helps some that are thinking about going to this guy. Be Well.