Fast screening for anabolic steroids in whole urine is achieved by combining reactive desorption electrospray ionization (reactive DESI) and tandem mass spectrometry. Spray solutions containing hydroxylamine allow heterogeneous reactions of hydroxylamine with the carbonyl group of the steroids during the ionization process. Seven steroids, including a glycosteroid, were examined. The ion/molecule reaction adduct and the oxime formed via its dehydration were observed using reactive DESI; the protonated and sodiated forms of the ionized steroid were also observed both in reactive DESI and in DESI performed without the added hydroxylamine reagent. Paper, glass, and polytetrafluoroethylene were tested as sample substrates, but the glycosteroid was ionized intact without hydrolysis only from polytetrafluoroethylene. Limits of detection for the pure compounds were less than 1 ng, dynamic ranges were typically 2 orders of magnitude, and analysis times were just a few seconds. Concentration levels of ketosteroids in raw urine relevant to screening for sports doping (approximately 20 ng/mL) can be reached using a simple solid-phase microextraction (SPME) preconcentration step. Reactive DESI provided significant improvements in ionization efficiency of these steroids in raw undiluted urine as compared to conventional DESI; suppression effects due to the sample matrix were minimal and the urine matrix had no deleterious effect on steroid detection limits. Tandem mass spectrometry provided confirmation of analyte identification in this rapid screening process.Anabolic steroids have been used increasingly by athletes to alter muscle mass 1 and to enhance performance. 2 Significant effort has been put into the development of analytical methods for anabolic steroids in urine to control such drug abuse. Methods ranging from thin layer chromatography, 3 through radioimmuno assays 4 to enzyme-linked immunosorbent assays, 5 have been implemented for steroid screening. However, the accepted analytical method for anabolic steroids and/or their metabolites has long been gas chromatography/mass spectrometry (GC/MS), 6-13 due to the highly specific and quantitative information it provides. Liquid chromatography-mass spectrometry (LC-MS) has also been applied successfully. [14][15][16][17][18] Because of the complexity of the urine sample, standard sample preparation procedures 19 include multiple steps of sample extraction, hydrolysis, and derivatization. 20,21 Although the final step of analysis by mass spectrometry takes little time, the sample preparation steps are usually both time-consuming and labor intensive. Because more rapid screening of the steroids in urine is highly desirable, the screening method for steroids in raw urine reported here consists of only two simple steps: (i) a drop of urine is placed on the substrate and (ii) mass spectra are recorded by spraying the J. Chromatogr., B 1997, 704, 129-141. (11) Wolthers, B. G.; Kraan, G. P. B. J. Chromatogr., A 1999, 843, 247-274. (12)