Hi Circles
. I'm a long-distance runner too (and triathlete though I took 2008 off and now 2009 because I'm now pregnant, due in August). I had no idea I had PCOS until June of 2008 when I went of the pill and never got my period. I'm 5'4" and 125 - 130 normally, very muscular and wear a size 2. I ran a marathon in April of 2008 and am very regular about exercise since it's something I just love to do. At first my doctor said I was too thin but I insisted in August I get testing. The only thing different about my was elevated testosterone. It was higher than yours but not much -- maybe 60-something -- but enough to diagnose PCOS (they didn't check for cysts because I had been on BCP for so long). Anyway, since I still never got my period 15 weeks post BCP by September, I saw an OB that specialized in reproductive endrocrinology and he prescibed provera (to bring on my period) and then clomid (to make me ovulate). The 50 mg dose of clomid didn't make me ovulate, but the 100 mg dose the next month (November) did and we got pregnant!! I'm now 6 months along, actually still running but MUCH less. I ran all along the process -- not a ton of mileage but maybe 20-25 miles, running 3-4 times a week with a longer 8-10 mile run on weekends, some speed work, etc until I got pregnant. Now I've cut it back to 10 or so miles a week total! I don't think running will hurt you at all, it might actually keep your body healthy as long as your don't overdo and you are eating right. Not sure if it helped but I also switched away from no- and low-fat dairy to full fat dairy after reading about The Fertility Diet, and I started accupuncture in early November 2008.
I would recommend you start temping (see Fertility Friend's website if you don't know how, I used that website to track my cycles) and then just make sure you are timing intercourse at least every other day leading up to ovulation! Even on Clomid I ovulated a bit late, so we were just very structured on our timing until I knew that I had ovulated.
Good luck and feel free to message me with any questions. This is a tough process but don't be afraid of the meds to help everything along. I'm very happy I was so proactive in my treatment -- especially now that I feel my baby boy moving inside of me.
(What marathon did you run?)