Hammam, Turkish Baths and Roman Baths: History and Modern Practice
The history of Roman baths and the hammam or Turkish bath, how the rooms and scrubbing work, and what small studies and reviews say about health effects and infection.
Content last updated . This page has not been medically reviewed.
What a hammam is
A hammam is a bathhouse tradition also called the Turkish bath; the sources we read use both names. A 2022 study of Gaziantep, Turkey, describes Ottoman hammams as having three main spaces: a cold hall for dressing and resting, a warm hall to accustom the body to heat or cold, and a hot hall where bathing is done [1]. In the women's hammam of that study, an attendant called a kayme scrubs the bathers [1]. Hammams are called single or double depending on whether the men's and women's sections are separate or combined [1].Roman roots and later history
The same source says Roman-period baths in Anatolia were designed for sports, competitions and meetings as well as bathing [1]. Its account is that Byzantine baths were first renovated and reused in Anatolia, the Seljuks developed their own bath types, and new hammams were built that followed Islamic rules of cleanliness, with people washing by pouring water [1]. The most advanced Turkish bath architecture appears after the acceptance of Islam in the 10th century, and many more bathhouses were built under the Ottoman Empire than before [1]. So the hammam is both a continuation of earlier bath buildings and a distinct tradition shaped by religious and social customs.In England, the Geological Society of London says the largest of Bath's three springs, the King's Spring, rises inside the Roman Baths Museum, and that around 1.3 million litres of water flow from the springs daily at around 40 degrees Celsius [2]. See hot springs and thermal baths. We did not read other sources on Roman bathing, so we say no more about it.
Traditional explanations
A review of Unani medicine describes the Turkish bath as a regimen used for prevention and cure of several ailments [3]. It explains this in terms of the humours, saying the bath reduces the viscosity of the khilt (humour) [3]. That is a traditional framework, not a biomedical mechanism, and the review does not test it. Label: traditional use only.What research shows
Studies are few and small, and they test specific programs.| Question | What the source found | Strength |
|---|---|---|
| Pelvic pain in endometriosis | A 4-week program combining hydrotherapy and Swedish massage in a "hammam" setting, in a randomized trial of 44 women, improved pain with periods and with intercourse, and pain interfering with sleep. No effects on catastrophizing, well-being or quality of life except sleep [4]. The program combined several things, and the abstract does not say what the control group received. | Promising but limited |
| Sunburn after scrubbing | Scrubbing removes surface skin cells that absorb ultraviolet light. In 12 participants, hammam treatment did not increase sunburn compared with untreated skin [5]. | Insufficient evidence |
| General health, "detox", immunity | Proper evidence not found. We searched PubMed for hammam and Turkish bath trials and found the studies above, a traditional-medicine review and historical articles, but none testing these claims. | No good evidence |
Infection and hygiene
A 2025 review notes that communal baths can contribute to some skin infections, including athlete's foot, warts, molluscum contagiosum and Pseudomonas folliculitis [6]. It reports limited data on how many infections are acquired from Turkish baths, and concludes they are uncommon given frequent disinfection and non-stagnant water [6]. That conclusion rests on that assumption rather than on a count. For hot tub folliculitis see hot tub rash. If you have a skin infection or open wound, skip communal baths until a clinician says otherwise.Modern practice
Modern "hammam" programs can look different from a neighborhood bathhouse. The trial above paired a hammam-style setting with Swedish massage [4]. Staff training and regulation are not described in the sources we read. Ask what training attendants have, how often rooms are cleaned, and whether you can stop at any time; see spa and facility safety checks. We list no venues.Cultural respect
The Gaziantep study ties hammams to Islamic rules of cleanliness [1]. If you visit a traditional bathhouse, follow the local customs on dress, gender separation and conduct. Customs vary, and the sources we read do not give a universal rule.Related pages
Saunas and steam rooms, Ayurvedic steam therapies and hydrotherapy for menstrual cramps and pelvic pain.Frequently asked questions
What is a hammam?
A bathhouse tradition, often called a Turkish bath, with warm and hot rooms, washing and scrubbing [1].
Is a hammam the same as a Roman bath?
No. They are related. Roman-period baths in Anatolia were built for bathing, sport and meetings, and later hammams followed Islamic cleanliness customs [1].
Does a hammam have health benefits?
Small studies exist for specific uses, such as pelvic pain in endometriosis in one trial, but evidence is limited [4].
Can you catch skin infections there?
Communal baths can spread some skin infections, but a 2025 review says they are uncommon with good disinfection [6].
Does scrubbing make you burn in the sun?
In a small trial, hammam scrubbing did not increase sunburn [5].
More details: evidence, limits and cautions
The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.
Safety first
References
- Yenice TK, Ararat M. Turkish bath tradition: the example of Gaziantep, Turkey. International Journal of Intangible Heritage, vol. 17, 2022. ijih.org Read 2026-10-22.
- Geological Society of London. Bath spa geosite (text courtesy of the UK Groundwater Forum). Read 2026-10-22.
- Peerla N, Ahmed NZ. Hammam-i-Bukhari (Turkish bath): a promising regimenal mode of Unani treatment. J Complement Integr Med 2020;17(3). PubMed 31553699 Read 2026-10-22.
- Rodriguez-Ruiz A et al. The benefits of an integral HAMMAM experience combining hydrotherapy and Swedish massage on pain, subjective well-being and quality of life in women with endometriosis-related chronic pelvic pain: a randomized controlled trial. Medicina 2024;60(10):1677. PubMed 39459464 Read 2026-10-22.
- Oberg S et al. No effect of Turkish bath (Hammam) on sunburn after exposure to natural ultraviolet radiation: a randomized controlled blinded trial. J Cosmet Dermatol 2019;18(5):1372-1377. PubMed 30588730 Read 2026-10-22.
- Kutlu O et al. Turkish bath-associated infectious dermatoses: a comprehensive review of risk factors, clinical manifestations, and preventive measures. Sisli Etfal Hastan Tip Bul 2025;59(4):443-449. PubMed 41700199 Read 2026-10-22.