Physical Activity Intervention Among Older Women With Gynecologic Cancers (Fit4Treatment)

This study (called Fit4Treatment) is testing whether a structured physical activity program can help older women with gynecologic cancers (such as uterine, ovarian, cervical, or vaginal cancer) tolerate their cancer treatment better and improve their quality of life. **You may be eligible if...** - You are female and over 60 years old - You have been diagnosed with endometrial/uterine, ovarian, cervical, or vulvar/vaginal cancer - You are currently receiving or planning to receive systemic cancer treatment (e.g., chemotherapy, immunotherapy, or targeted therapy) - You are fluent in English - You are willing to try to find an exercise partner **You may NOT be eligible if...** - You have uncontrolled cardiovascular disease or other serious health conditions that make exercise unsafe - You have brain metastases (cancer that has spread to the brain) - You have cognitive or physical limitations that prevent you from participating in an exercise program - You are pregnant Talk to your doctor to see if this trial is right for you.