According to this study, it might be caloric restriction that counts with PCOS http://www.ovarian-cysts-pcos.com/pcos-news135.html
Personally, I found the difference in macronutrient ratios in study's diets to to be too close together to tell us much, VLC certainly wasn't represented, it was just lower carb than SAD. Sure if you restrict calories, you get some autophagy (i.e. high fat diet, just high fat from your own stores). I've tried reducing calories with moderate carbs and it makes me hungry and irritable. However when I've gone VLC I haven't run into those problems. When I get into the territory where 60+% of my diet is fat, and very little is carb, I lose all cravings, feel quite good, and eat less than I would otherwise. So accidental calorie restriction happens. If you don't find that eating fruit and starch make you crave more food, you might be able to handle them. Unfortunately, my body doesn't seem to work that way.
In dealing with my own PCOS I've been under the impression that my sugar metabolism is essentially broken right now, and the closer I get to and stay at VLC the sooner I will be able to repair my metabolism and be able to reintroduce carbs into my diet. Maybe I won't ever be able to eat carbs with gusto, but I'm hoping at some point to be able to eat them in moderate quantities without damaging my body. It might also help to ditch the dairy for a while and see what your results are, dairy can be insulemic some people.
You also seem a little afraid of VLC. Sure it might seem like you are limiting what you eat at first, but there also comes an amazing freedom from not being preoccupied with food. I used to be a much more exotic cook, but I don't miss it because my mood and energy are so even keel, and a significant part of my day that had previously been occupied by daydreaming about and planning meals is now free for other endeavors.