 [ Symptoms ] i am a 36 year old male i have acne on the back of my head and is sometimes very painful any idea what this can be  it seems to come and go randomly but has been occurring for about three years now i have tried different shampoos and our laundry detergent has not changed [ Disease ] most helpful answer i guess that would depend on the scope of practice for each one many primary care providers are not that keen on providing gynecological care assuming your ob days are over and some ob gyns are not crazy about handling your depression or dealing with hundreds of other non gynecological problems that a woman might develop if you had to pick one pick the primary care provider but consider finding one that has hospital privileges if that is important to you many hospitals now use hospitalists that take over your case once you are admitted so not having hospital privileges may not be a big problem talk to them both about your situation and you will see where they stand