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\frac{\left(x-2\right)^{2}}{\left(x-2\right)\left(x+2\right)}+\frac{x-2}{x^{2}+2x}-1
Factor the expressions that are not already factored in \frac{x^{2}-4x+4}{x^{2}-4}.
\frac{x-2}{x+2}+\frac{x-2}{x^{2}+2x}-1
Cancel out x-2 in both numerator and denominator.
\frac{x-2}{x+2}+\frac{x-2}{x\left(x+2\right)}-1
Factor x^{2}+2x.
\frac{\left(x-2\right)x}{x\left(x+2\right)}+\frac{x-2}{x\left(x+2\right)}-1
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of x+2 and x\left(x+2\right) is x\left(x+2\right). Multiply \frac{x-2}{x+2} times \frac{x}{x}.
\frac{\left(x-2\right)x+x-2}{x\left(x+2\right)}-1
Since \frac{\left(x-2\right)x}{x\left(x+2\right)} and \frac{x-2}{x\left(x+2\right)} have the same denominator, add them by adding their numerators.
\frac{x^{2}-2x+x-2}{x\left(x+2\right)}-1
Do the multiplications in \left(x-2\right)x+x-2.
\frac{x^{2}-x-2}{x\left(x+2\right)}-1
Combine like terms in x^{2}-2x+x-2.
\frac{x^{2}-x-2}{x\left(x+2\right)}-\frac{x\left(x+2\right)}{x\left(x+2\right)}
To add or subtract expressions, expand them to make their denominators the same. Multiply 1 times \frac{x\left(x+2\right)}{x\left(x+2\right)}.
\frac{x^{2}-x-2-x\left(x+2\right)}{x\left(x+2\right)}
Since \frac{x^{2}-x-2}{x\left(x+2\right)} and \frac{x\left(x+2\right)}{x\left(x+2\right)} have the same denominator, subtract them by subtracting their numerators.
\frac{x^{2}-x-2-x^{2}-2x}{x\left(x+2\right)}
Do the multiplications in x^{2}-x-2-x\left(x+2\right).
\frac{-3x-2}{x\left(x+2\right)}
Combine like terms in x^{2}-x-2-x^{2}-2x.
\frac{-3x-2}{x^{2}+2x}
Expand x\left(x+2\right).
\frac{\left(x-2\right)^{2}}{\left(x-2\right)\left(x+2\right)}+\frac{x-2}{x^{2}+2x}-1
Factor the expressions that are not already factored in \frac{x^{2}-4x+4}{x^{2}-4}.
\frac{x-2}{x+2}+\frac{x-2}{x^{2}+2x}-1
Cancel out x-2 in both numerator and denominator.
\frac{x-2}{x+2}+\frac{x-2}{x\left(x+2\right)}-1
Factor x^{2}+2x.
\frac{\left(x-2\right)x}{x\left(x+2\right)}+\frac{x-2}{x\left(x+2\right)}-1
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of x+2 and x\left(x+2\right) is x\left(x+2\right). Multiply \frac{x-2}{x+2} times \frac{x}{x}.
\frac{\left(x-2\right)x+x-2}{x\left(x+2\right)}-1
Since \frac{\left(x-2\right)x}{x\left(x+2\right)} and \frac{x-2}{x\left(x+2\right)} have the same denominator, add them by adding their numerators.
\frac{x^{2}-2x+x-2}{x\left(x+2\right)}-1
Do the multiplications in \left(x-2\right)x+x-2.
\frac{x^{2}-x-2}{x\left(x+2\right)}-1
Combine like terms in x^{2}-2x+x-2.
\frac{x^{2}-x-2}{x\left(x+2\right)}-\frac{x\left(x+2\right)}{x\left(x+2\right)}
To add or subtract expressions, expand them to make their denominators the same. Multiply 1 times \frac{x\left(x+2\right)}{x\left(x+2\right)}.
\frac{x^{2}-x-2-x\left(x+2\right)}{x\left(x+2\right)}
Since \frac{x^{2}-x-2}{x\left(x+2\right)} and \frac{x\left(x+2\right)}{x\left(x+2\right)} have the same denominator, subtract them by subtracting their numerators.
\frac{x^{2}-x-2-x^{2}-2x}{x\left(x+2\right)}
Do the multiplications in x^{2}-x-2-x\left(x+2\right).
\frac{-3x-2}{x\left(x+2\right)}
Combine like terms in x^{2}-x-2-x^{2}-2x.
\frac{-3x-2}{x^{2}+2x}
Expand x\left(x+2\right).