Pcos woman takes spironolactone that make spotting,what should be taken to prevent such spotting? can progesterone pessaries help example cyclogest?

Combined pill: is probably a better option. Have you had a pelvic ultrasound to determine the endometrial thickness, because this may influence the decision also.

Birth control pills: A popular for PCOS patients who need menstrual cycle control is to take birth control pills. Cyclic Progesterone is another option but is often not as effective. Weight loss is key is the PCOS patient is overweight.