To add or subtract fractions they must be over a common denominator.
x^2 - y^2 = (x + y)(x - y)
Therefore we need to multiply the fraction on the right by (x - y)(x - y), a form of 1, to get both fractions over a common denominator:
(4xy)/(x^2 - y^2) + ((x - y)/(x - y) xx (x - y)/(x + y)) =>
(4xy)/(x^2 - y^2) + ((x - y)(x - y))/((x - y)(x + y)) =>
(4xy)/(x^2 - y^2) + (x^2 - 2xy + y^2)/(x^2 - y^2)
Now, we can add the numerators of the two fractions over their common denominator:
(4xy + x^2 - 2xy + y^2)/(x^2 - y^2) =>
(x^2 + 4xy - 2xy + y^2)/(x^2 - y^2) =>
(x^2 + (4 - 2)xy + y^2)/(x^2 - y^2) =>
(x^2 + 2xy + y^2)/(x^2 - y^2) =>
((x + y)(x + y))/((x + y)(x - y)) =>
(color(red)(cancel(color(black)((x + y))))(x + y))/(color(red)(cancel(color(black)((x + y))))(x - y)) =>
(x + y)/(x - y)