Yes, they use tampons. As for breaking or not breaking the hymen is it important to you.
Hymens come in various shapes and designs.
On the other hand, if you have a hymen shaped like a crescent moon around the bottom or side of the vaginal opening, then tampons may not interfere at all. Interestingly, not all women are born with hymens, and hymens can break without women knowing it. Strenuous activities, such as bicycle riding, horseback riding, stretching, or dancing, can also cause the hymen to break. Lastly, a woman's hymen could have already been broken or stretched by sexual activity, even if she has not had a penis inside of her. All rights reserved.