K.,
My sister and I both received this diagnosis. We were both able to get pregnant with our first children through the help of a reproductive endocrinologist in my case, and a very knowledgeable OBGYN in hers. In both cases, we were put on the diabetes drug glucophage to regulate insulin levels in our ovaries. This helps you to ovulate regularly and increases your chance of becoming pregnant. You stop the medicine as soon as you know you are pregnant. With both of us, it took less than a year to get pregnant, and our pregnancies were free from complications.
My sister was anxious for more kids, and started trying again for her second when her son was 1 year old. She was pregnant again within 4 months this time. From everything I've read, the second pregnancy for those with PCOS is much easier to achieve - something about the first one helping to regulate your hormones and insulin. I hope this is true, because my husband and I have recently started trying again!
As far as day to day management of PCOS, I just try to eat healthy foods and exercise to lose some extra weight. PCOS can be a risk factor for type II diabetes, so my doctor periodically does a glucose tolerance test on me to make sure I'm not headed in that direction.
If you live in Chicago and want a reproductive endocrinologist, I can recommend mine - I love her! She's at Rush on Harrison, and her name is Mary Wood-Molo. She was kind, understanding, and great at explaining all this. Her number is ###-###-####.
Good luck!