A big city doctor visits an Native American tribe full of men and he asks "How do you guys relieve your sexual tension?"

"Simple, just come down to the river tomorrow and we'll show you." The next day the doctor shows up and sees a group of men near a donkey. One man says "Since you're our guest you get to go first." The doctor not wanting to go against custom starts to kiss, then proceeds to have sex with the donkey. Then a man in the group asks "Are you almost done Doc? We need the donkey to cross the river in order to get to the tribe of women."