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