stayflawless I am sorry to hear about the medical issues.
Is the PCOS relevant because it can affect getting pregnant or because you don't necessarily want your child to have a risk of this (of course only relevant if you were to have a girl).
I don't know enough about the genetic IVF (and don't fully understand how it may be harder because of PCOS, I mean whether it would be harder for you to produce the eggs or harder for you to actually get pregnant - two separate issues if you were to have donor eggs or donor embryos) but I think you do need to explore the options and see which is right for you.
Adoption is a great option to become a parent, but things can be difficult at the moment, with very long waits, and I think it is best to go along to an information evening in your area and find out first hand what the situation would be for you before ruling it in or out for you.
There is another option I can think of (which I have eluded to) and that is that you attempt to have a baby with donor sperm or donor sperm and eggs or donor embryos. This option would eliminate the issue re your dh's medical condition, and if the child were from donor egg or embryo then posibly easier for you to not have to produce the eggs. Also the child would not risk inheriting your PCOS either, although it is not my understanding this is a 'serious' enough issue for parents to necessarily want to avoid (I know two women with PCOS who both went on to have two children each but in both cases experienced fertility issues/delays).
My experience is we have a dd (through IUI) aged 11 and a son (who joined our family by adoption aged 3) and is now 5. In the time between dd's arrival and the arrival of ds we had years of fertility treatment including donor eggs. This is costly and there is a wait involved, and for us this was obviously not successful. So you may well feel it is not for you, but I wonder if it is worth considering. Please do pm me if you want to know more. I am happy to reply here but if you post a question to me here, could you also pm me, please, because I don't check as often as I used to.
I also do not know how the costs of genetic IVF compares to regular IVF. IVF with donor eggs is about twice the price of regular IVF in this country, treatment with donor embryos is somewhere in between the two costs I think, and of course would not involve drugs to stimulate your ovaries, only drugs to control your system so it would be at the right menstrual stage for treatment. No idea how the cost is affected if using donor sperm, but we had ICSI (injection of single sperm into an egg) and again this cost more tha regular IVF.
Happy to also answer specific questions about adoption, if I can.
What ever you decide, good luck.