What causes the hymen to rupture?

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Contrary to popular belief, there are many ways to rupture a hymen. While vaginal penetration through sexual intercourse is the most common, some other ways causing the hymen to rupture include falling, horseback riding, tampon use, and during physical activities requiring extreme flexibility (e.g. gymnastics). Therefore, the hymen may rupture in a way not related to sexual intercourse. more
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