I am not spending my bitcoins at a moment in real world as there are no shops in my area that accepts bitcoins so I am spending them only on trading sites as the usage and acceptance of bitcoins is very limited in real world at a moment.
If you cannot spend them directly then you can sell them and convert them to fiat currency and the better option would be to have bitcoin debit card as it can be easily used at online as well as offline places for buying anything.
There are places in the world like as in Japan where is very easy to spend directly your coins. Recently, one of the biggest electronic retailer shop in conjunction with a bitcoin payment processor company they developed a new point-of-sale system (POS) that allow customers to purchase goods with bitcoin up to (900 usd). More
here.