I have PCOS and have birthed a set of twins and am currently working on my second pregnancy. I did this without Clomid or any of the other drugs (just super spermies - per my husband and mother's statements).
I think you need to decide how yo would like to treat this. There are natural (non-lab created chemicals) or if you want the lab created chemicals.
There are actually two types of PCOS, one that is an insulin based issue, the other is where your body is creating too much testosterone and not enough progesterone. See a book called Living with PCOS by Angela boss, Evelina Weidman Sterlin and Richard S. Legro M.D. There is a lot of information and a great starting point to learning about it and how to deal with it. It discusses the drugs and alternative options. And how it affects your day to day life.
Since not all women ovulate when they have PCOS finding out if you are ovulating will be key in how you decide to get pregnant. If you are ovulating then let nature do the job for you. If you aren't ovulating then use the help.
I personally dislike taking drugs that may not be necessary and so I looked to a Naturopath. I increased my fruit and veggies and was taking progesterone which is a bio-identical hormone that my body was not creating to the level that my body should have been making it at.
In taking the progesterone, my period became regulated, I won't say normal because it was still outside of what western medicine defines as normal but it was regular in that I new that with in 2 dates I would start my period. I did not find that I was more emotional due to the additional hormone I actually found the opposite, I found I had better control of my emotions. I wouldn't fly into rages or be depressed. 4 years later I got pregnant with twins. At the time I wasn't trying to get pregnant it just happened, but I love them.
I have also just recently become pregnant with my third or potentially fourth child without using the traditional meds. good luck in your research and your path. It isn't an easy thing to decide how to handle this. You just need to look at what you want and what sounds best for you. Feel free to email me with any further questions!