Two bars on the test paper is not necessarily pregnant, two bars on the test paper may be pregnant, but it may also be caused by ovarian tumors, trophoblastic diseases or other factors. 1. pregnancy, early pregnancy test paper measured two bars, generally more likely to be pregnant, after pregnancy in the urine HCG rise, can be measured through the test paper positive results, combined with blood HCG examination to confirm the diagnosis. 2. Ovarian tumors, two bars of pregnancy test results generally have a high chance of pregnancy, but it is not absolute. For example, some ovarian tumors can also secrete chorionic gonadotropin, which leads to two bars on the test paper, which can be confirmed by combining blood HCG and MRI. 3. Trophoblastic diseases, women suffering from hyperemesis gravidarum, erosive hyperemesis gravidarum, can also lead to elevated HCG in the body, resulting in the phenomenon of two bars on the test paper, which can be combined with scraping and histological examination to confirm the diagnosis. 4. Other factors, such as improper use of test strips, the use of expired, damp test strips, etc., will also cause the test strips to appear false positive results. The presence of two bars on the test paper indicates that there is a high chance of pregnancy, but it does not absolutely mean that you are pregnant, but also combined with ultrasound and blood HCG tests to confirm the diagnosis.