Vulvoscopic photographs from subject 004. Vulvoscopic photographs were taken in order. Panels a to d show baseline evaluations at 1:00, 3:00, 6:00, and 9:00 o’clock, respectively. Panels e to h show end-of-study evaluations at 1:00, 3:00, 6:00, and 9:00 o’clock, respectively. These images show improvement in the Vulvoscopic Genital Tissue Appearance Scale for urethral meatal prominence, introital stenosis, vestibular pallor, vestibular erythema, and vestibular moisture.