Purpose: Oxytocin and arginine vasopressin are associated with different aspects of the stress response. As stress is regarded a risk factor for vocal symptoms, we wanted to explore the association between the oxytocin receptor gene (OXTR) and arginine vasopressin 1A receptor gene (AVPR1A) single nucleotide polymorphisms (SNP) and vocal symptoms. We also wanted to explore whether such effects might be mediated by cortisol since oxytocin and vasopressin associated with cortisol levels.Method: A population based sample (N = 657) of Finnish twins (born 1961-1989) completed a web-questionnaire on the occurrence of vocal symptoms. A total of (n = 170) participants submitted saliva samples for hormone analysis. A total of 20 OXTR and AVPR1A SNPs were analyzed.Results: Three OXTR polymorphisms (rs2270465, rs2268493, rs7632287) and two AVPR1A polymorphisms (rs1587097, rs1042615) showed nominal effects (p < .05) on vocal symptoms, of which one (rs1587097) remained significant after correcting for multiple testing (p = .003). We found potential mediation of the effect of the OXTR rs2268493 polymorphism on vocal symptoms through levels of cortisol.Conclusions: The associations between variants of OXTR and AVPR1A and vocal symptoms indicate that oxytocin and vasopressin might influence vocal symptoms. The effect of oxytocin seems to be partly mediated through cortisol actions.