To find the association between sexual dysfunction and depressive symptoms among type 2 diabetic women.The cross-sectional study was conducted at the Military Hospital, Rawalpindi, Pakistan, from November 2017 to October 2018, and comprised diabetic women reporting for routine follow-up. Female sexual function index was used to assess the sexual function of the subjects. The presence of depressive symptoms was assessed using the Beck depressive inventory-II. Relationship of age, duration of diabetes, depression, education, level of family income and type of treatment was assessed with sexual dysfunction. Data was analysed using SPSS 23.Of the 250 subjects, 104(41.6%) were aged40 years. Overall, 89(35.6%) women had no sexual problem, while 161(64.5%) had significant dysfunction. Also, 179(71.6%) patients had depressive symptoms, while 69(28.4%) were negative on depression screening. Increasing age and presence of depressive symptoms had significant association with sexual dysfunction (p0.05).The prevalence of sexual dysfunction was found to be high among diabetic women. Female diabetic patients with increasing age should also be screened regularly for psycho-sexual problems.