Hi. This is the most common worry a lady/ girl has.. Well to simplify: fibroadenosis never transform into a fibroadenoma or cancer . This is for sure. Medicines never really work well to get you relief, if at all someone getting it , this indicates her body and adenosis getting adjusted to the hormonal levels and nothing else. Next point is it all depends upon:: the site / size and symptoms you have/ whether you are married or unmarried / Id married what is your consciousness and your husband s opinion/ If the lump is large enough to cause deformity on removal- it is a choice between the pain relief and psychological effect of no pain but a deformity if at all it occurs after removal. Now-a-days we do multiple incisions on the lump to relieve the edema that develops with hormonal changes during cycle to cause no or minimal pain. You must have noticed that if you are under stress , the pain is also more than usual. I hope i have tried to explain this to your satisfaction , please contact me/us if you have further query or explanations to the questions I asked.