The Scarlet II series uses centerfolds from the year 1969, trimmed to reveal hand painted underwear in a crimson color. Like the first Scarlet series, these red underwear represent the scarlet-colored undergarments worn during medieval times to camouflage leaked menses. Paired with floral ink and vellum drawings, the pictorial symbol of fertility, but also referencing the bouquets of florals carried during those early centuries to deflect the smells of menstruation.

The constellations of red and gold dots represent a 28 day birth control pill pack, with 21 red representing the cycle, and 7 gold for the placebo prompting the shedding of the uterine lining.