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Eastern Kentucky began play in 1971. They won the Kentucky Women's Intercollegiate Conference (KWIC) Tournament in 1972, 1973, 1974, 1975, and 1976. They joined the Ohio Valley Conference when that conference started sponsoring women's sports in 1977, they won five regular season championships (1995, 1997, 1998, 2002, 2005) and two tournament championships (1997, 2005). The Colonels have made the postseason five times, with two being in the NCAA Tournament (1997, 2005), two in the Women's National Invitational Tournament (2002, 2024), and one in the Women's Basketball Invitational (2013). As of the end of the 2023–24 season, they have an all-time record of 720–730.

In 2021, Greg Todd was named the 10th head basketball coach in program history. He led the program to a 22–12 overall record during the 2023–24 season, the first 20-win season since 2004–05. EKU appeared in the Atlantic Sun Conference Women's Basketball Tournament for the third consecutive season, defeating Lipscomb 99–68 on the road in the quarterfinals, ultimately helping the team receive an at-large bid to the 2024 Women's Basketball Invitational Tournament, losing to Purdue Fort Wayne 83–75 in the opening round on the road.