Extreme heat is a deadly natural hazard that disproportionately affects women in South Asia, who are at greater risk for heat-related illnesses and mortality due to physiological differences, limited access to resources, and societal roles as caregivers. This vulnerability extends to maternal and neonatal health, as extreme heat is linked to adverse outcomes such as pre-term births and stillbirths. Women face a "double burden" as they care for heat-vulnerable family members, and they suffer larger proportional income losses, particularly in low and middle-income countries. Gender-informed heat management solutions are crucial to address these disparities. Women often lack access to early warning systems and cooling spaces, and initiatives like Mahila Housing Trust's surveillance toolkits and parametric insurance schemes aim to empower women with knowledge and financial protection. Despite these challenges, women are underrepresented in decision-making roles that could influence policies and urban planning to mitigate heat risks. Experts emphasize the need for collaborative efforts to ensure gender considerations are central to heat resilience strategies, as highlighted in a recent World Bank policy brief on urban heat in South Asia. Through targeted interventions, the impacts of extreme heat on women can be alleviated, promoting a more equitable and sustainable urban future.