What happens at the 6 month visit? The annual visit would be your comprehensive exam, pap, breast exam, etc. The other visit might be a blood pressure check. Other than that, I can't imagine why he'd need to see you twice a year. And if there's never been a problem with the BP, I could see one BP check 3 months after starting the pill (or any estrogen-containing method), but other than that...I, too, am flummoxed. Lise