Background: After childbirth, sexual dysfunction is frequent in women and may be linked to stress, anxiety, and depression. Most of these issues are treatable in their early stages using various counselling techniques. Aim: to determine the impact of BETTER model-based counselling on postpartum women's emotional status having sexual dysfunction. Design: A quasi-experimental study design was used. Setting: The research was carried out in the outpatient clinic of the Obstetrics and Gynecology department in Sohag University Hospital, Egypt. Sampling: For the study, a purposive sample of 100 women with sexual dysfunction was involved and was divided equally into two groups (study and control) and each group included 50 women. Tools: three different tools were used to collect the data: Personal data assessment sheet, The Depression, Anxiety, and Stress Scale (DASS), and the female sexual function index (FSFI). The results: The study's findings revealed that there was a high statistically significant difference in mean scores of total Female sexual functions among study and control groups post BETTER model application (P < 0.001), there was a statistically significant difference between both groups in total mean score of Depression, Anxiety, and Stress after application of BETTER model (P ≤ 0.05) and (P < 0.001)) in addition, there was a statistical significant positive correlation between total female sexual function and total Depression, Anxiety, and Stress score among study group after application of BETTER model (P ≤ 0.05) and (P < 0.001). Conclusion: The application of the counseling-based BETTER model significantly reduces depression, anxiety, and stress among postpartum women having sexual dysfunction. Recommendation: A BETTER sexual counseling model should be established to reduce depression, anxiety, and stress among postpartum women having sexual dysfunction.