What do the guidelines say?

Society of Obstetricians and Gynaecologists of Canada (SOGC) recommendation:

Healthcare professionals should be careful not to restrict access to IUCs owing to theoretical or unproven risks. Healthcare professionals should offer intrauterine contraceptives (IUC) as a first-line method of contraception to both nulliparous and multiparous women." 1*

Canadian Paediatric Society recommendation2

The Canadian Paediatric Society recommends using long-acting reversible contraceptives (LARCs) as first-line contraception for Canadian youth, while recognizing that the LARC options are limited to IUCs in Canada and that not all youth are comfortable with IUCs."

Safety and efficacy of Kyleena® have been studied in women aged 18 and over. Efficacy is expected to be the same for post-menarcheal adolescents under the age of 18 as for users 18 years and older. Kyleena® is not indicated for use before menarche.