The present study was undertaken to find out gender-specific priorities in groundwater utilization for crop production and domestic uses, and also to identify various problems and constraints faced in groundwater utilization. A total of 60 farm households were selected randomly for empirical investigation from two northwestern districts of Bangladesh. Among these selected households, both husband and wife were interviewed separately. Both descriptive and econometric (logistic regression) analyses were performed. Groundwater is the main source of irrigation and household water and it is supplied by both public and private enterprises. The availability of water is scarce in the study location hence people use irrigation water for most of their domestic activities. Barind Multipurpose Development Authority (state-run) operated tube wells that contributed 87% of the domestic water uses in the study area. Logistic regression results confirm that priorities of groundwater utilization vary across gender. Females have a greater preference for domestic uses of groundwater while males have a preference for crop irrigation. One of the major factors of preference variation is that female has to spent a good amount of time in fetching water for domestic uses. Water management policies should consider these utilization preferences to avoid extra burden on women in fetching water from away. The study suggests better institutional arrangements for groundwater availability for crop production and domestic uses towards ensuring food security and health benefits.