What would happen if I start taking spironolactone while using transdermal patches?

Hi! I just started using Zafemy patches (ethinyl estradiol and norelgestromin) to treat my acne and regulate my periods, and it's kind of helping, but I also want to get on spironolactone get rid of my acne completely. I might have PCOS based on the fact that I experience some of the symptoms (acne, excess facial hair, and irregular periods), but my doctor said that I don't have it. I had an ultrasound, and my uterus and ovaries were completely free of cysts and called healthy. When I informed the doctor that my periods were irregular, she said that because they varied by only like a week that it couldn't be PCOS. The doctor claimed that people who have PCOS sometimes go long periods of time without menstruation. However, a few years ago, I had blood work that said I had low estrogen. I can't remember which hormone I was high in, and I know for a fact it wasn't testosterone, but I think it might have been FSH. If I start taking spironolactone, would I notice any changes in myself mentally/emotionally and/or physically? Would the combination of estrogen and androgen blockers make me look more feminine? Would my ache go away? I know it's not a guarantee.

What would happen if I start taking spironolactone while using transdermal patches?
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