Background: A network of factors suggested to influence oxidative modification of serum low-density lipoprotein (ox-LDL) concentrations and it plays critical role in diabetic copmlications.This study aimed to assess the joint effect of Type 2 diabetes mellitus (T2DM), gender and menopausal status on ox-LDL and Malondialdehyde (MDA) levels.Material and Method: A total of 594 female and male participants were divided into six groups: 189 postmenopausal women with T2DM, 79 premenopausal women with T2DM, 54 premenopausal women without T2DM, 53 postmenopausal women without T2DM, 186 men with T2DM and 33 men without T2DM. Laboratory and anthropometric measurements, metabolic syndrome (MetS) and the 10-year risk score for atherosclerotic cardiovascular disease (ASCVD) were assessed. Results: Ox-LDL in women with T2DM was three times higher than women without T2DM. However, ox-LDL in men with T2DM was 1.3 times higher than men without T2DM. In non-T2DM participants, postmenopausal women had higher 10-year ASCVD risk score, concentrations of ox-LDL and MDA and higher prevalence of MetS compared to premenopausal women. However, this difference disappeared in participants with T2DM. In The interaction analysis did not show an additional effect of menopausal status and T2DM for ox-LDL and MDA serum levels in female participants (respectively p= 0.310, p= 0.922). In multivariate analysis, TG was independently associated with ox-LDL concentrations (OR: 1.27, p ≤0.001). In T-test analysis, participants with MetS, higher risk of ASCVD had higher levels of ox-LDL.Conclusion: The magnitude of the increase in ox-LDL and MDA levels in women with T2DM was significantly higher than men with T2DM. The differences between pre- and postmenopausal women with and without T2DM in circulating ox-LDL and MDA mostly were dependent on T2DM, regardless of menopausal status. T2DM override the effect of menopausal status, gender and age on ox-LDL and MDA concentrations. Having MetS, increased TG levels and higher 10-year ASCVD risk score suggested to be associated with higher levels of ox-LDL.