Cystic hormonal acne and spironolactone

I have been getting horrible hormonal cystic acne along my jawline and cheeks and someone recommended spironolactone to help. Thing is, I’ve read women with endo who take spironolactone can worsen their symptoms. I’m currently on Norethendrone 5 mg to help with my endo symptoms but am worried the spironolactone will counteract my meds and make my endo so much worse.

Does anyone know if this is true? If it is, any other recommendations to help with hormonal acne? Ive suffered with acne for years but the past few months is the worst it’s ever been. For reference I’m a 31 year old woman who lives in nyc.