Abstract. it is well known that late-onset hypogonadism in males can cause a variety of symptoms, and the differential diagnosis is relatively difficult, including psychological disorders, stress, and mood disturbances. The level of serum cortisol can be measured to reflect a patient's level of stress. Salivary hormones facilitate the evaluation of physiological hormonal actions based on free hormone assay. For the simultaneous measurement of testosterone and cortisol levels in saliva, we validate a sensitive liquid chromatography-tandem mass spectrometry (LC-MS/MS) assay. Concerning accuracy and precision, the lower limit of quantification of salivary testosterone and cortisol were established as 5 and 10 pg/mL, respectively. Testosterone and cortisol in saliva is stable for 2 days, 14 days, and 28 days at room temperature, refrigeration and frozen, respectively. Freezing and thawing for 3 cycles and stimulation of salivation with gum chewing do not alter the measured values of testosterone and cortisol. Total, bioavailable, and free serum testosterone showed slight diurnal changes, but total and bioavailable serum cortisol showed marked diurnal changes. Salivary testosterone levels negatively correlate with age, regardless of the time of saliva collection (r=0.64, p<0.05). However, there is no relationship between salivary cortisol and age (r=0033, p>0.05). LC-MS/MS allows rapid, simultaneous, sensitive, and accurate quantification of testosterone and cortisol in saliva for the diagnosis late-onset hypogonadism or other hormone related disease. 2]. The differences may be associated with molecular structure variations in water solubility, differences in binding affinity to sex hormone-binding globulin (shBg) in serum, or the serum free hormone ratio [3]. However, the mechanism by which hormones are secreted in saliva via blood remains to be clarified. Autoradiograms showed free T was secreted in saliva without binding to SHBG [4]. Recent studies reported t and F in saliva were useful for evaluating bioavailability and accurately reflected serum hormone activity [1,3,[5][6][7][8]. Some studies indicated the measurement of salivary hormone levels facilitated the evaluation of precise physiologic actions based on free hormone activity, which could not be confirmed based on total blood hormone levels [1,3,6,9]. therefore, salivary hormone measurements have re-