What a topic!
As for using the good ole outdoors, sometimes, as a deer hunter, I have no choice.
Although we do have an outhouse by the cabin, if I'm a good distance away or its peak time for the deer to be moving, I most certainly will NOT be moving down to the outhouse.
I've taken teenage boys hunting with me and when they ask how we handle this situation I say, I'll turn or you'll turn the other way for a bit. The men in the group do the same, they just ask the ladies to look the other way a minute.
No biggie really. The only time its a problem for me is when there are neighboring males around. Sometimes carrying binoculars!